REGULATIONS
Vol. 35 Iss. 23 - July 08, 2019

TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
BOARD OF DENTISTRY
Chapter 25
Forms

REGISTRAR'S NOTICE: Forms used in administering the regulation have been filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name of a form with a hyperlink to access it. The forms are also available from the agency contact or may be viewed at the Office of the Registrar of Regulations, 900 East Main Street, 11th Floor, Richmond, Virginia 23219.

Titles of Regulations: 18VAC60-21. Regulations Governing the Practice of Dentistry.

18VAC60-25. Regulations Governing the Practice of Dental Hygiene.

18VAC60-30. Regulations Governing the Practice of Dental Assistants.

Contact Information: Elaine J. Yeatts, Senior Policy Analyst, Department of Health Professions, 9960 Mayland Drive, Suite 300, Richmond, VA 23233, telephone (804) 367-4688, or email elaine.yeatts@dhp.virginia.gov.

FORMS (18VAC60-21)

Application for a Faculty License to Teach Dentistry (rev. 1/2017)

Instructions and Application for Registration for Volunteer Dental Practice (rev. 6/2017)

Instructions and Application for a Temporary Resident's License (rev. 1/2017)

Application for a Temporary Dental Permit (rev. 5/2017)

Application for a Permit to Administer Moderate Sedation (rev. 12/2018)

Application for a Permit to Administer Deep Sedation/General Anesthesia (rev. 5/2017)

Application for Reinstatement of a Permit to Administer Moderate Sedation or Deep Sedation/General Anesthesia (rev. 12/2018)

Application for Certification to Perform Cosmetic Procedures (rev. 12/2015)

Application for Reinstatement of Certification to Perform Cosmetic Procedures (rev. 12/2015)

Instructions and Application for Restricted Volunteer Dental License (rev. 1/2017)

Application for Oral and Maxillofacial Surgeon Registration of Practice (rev. 12/2015)

Application for Reinstatement of Oral and Maxillofacial Surgeon Registration of Practice (rev. 12/2015)

Application for Registration of a Mobile Dental Facility or Portable Dental Operation (rev. 12/2015)

Instructions and Application for Reactivation of Dental License (rev. 1/2017)

Instructions and Application for Reinstatement of Dental License (rev. 6/2017)

Instructions for Filing Online Application for Licensure by Examination or Credentials for Dentists (rev. 6/2016)

Instructions and Application for a Faculty License to Teach Dentistry (rev. 5/2019)

Instructions and Application for Registration for Volunteer Dental Practice (rev. 5/2019)

Instructions and Application for a Temporary Resident's License (rev. 5/2019)

Instructions and Application for a Temporary Dental Permit (rev. 5/2019)

Instructions and Application for a Permit to Administer Moderate Sedation (rev. 5/2019)

Instructions and Application for a Permit to Administer Deep Sedation/General Anesthesia (rev. 5/2019)

Instructions and Application for Reinstatement of a Permit to Administer Moderate Sedation or Deep Sedation/General Anesthesia (rev. 5/2019)

Instructions and Application for Certification to Perform Cosmetic Procedures (rev. 5/2019)

Instructions and Application for for Reinstatement of Certification to Perform Cosmetic Procedures (rev. 5/2019)

Instructions and Application for Restricted Volunteer Dental License (rev. 5/2019)

Instructions and Application for Oral and Maxillofacial Surgeon Registration of Practice (rev. 5/2019)

Instructions and Application for Reinstatement of Oral and Maxillofacial Surgeon Registration of Practice (rev. 5/2019)

Instructions and Application for Registration of a Mobile Dental Facility or Portable Dental Operation (rev. 5/2019)

Instructions and Application for Reactivation of Dental License (rev. 5/2019)

Instructions and Application for Reinstatement of Dental License (rev. 5/2019)

Instructions for Filing Online Application for Licensure by Examination or Credentials for Dentists (rev. 4/2019)

FORMS (18VAC60-25)

Instructions for Filing Online Application for Licensure by Examination or Credentials for Dental Hygienists (rev. 6/2017)

Instructions and Application for Registration for Dental Hygiene Volunteer Practice (undated)

Instructions and Application for Reactivation of Dental Hygienist License (rev. 1/2017)

Instructions and Application for Reinstatement of Dental Hygienist License (rev. 6/2017)

Instructions and Application for Restricted Volunteer Dental Hygiene License (rev. 1/2017)

Application for a Faculty License to Teach Dental Hygiene (rev. 1/2017)

Application for a Temporary Dental Hygiene Permit (rev. 2/2018)

Instructions for Filing Online Application for Licensure by Examination or Credentials for Dental Hygienists (rev. 5/2019)

Instructions and Application for Registration for Dental Hygiene Volunteer Practice (rev. 5/2019)

Instructions and Application for Reactivation of Dental Hygienist (rev. 5/2019)

Instructions and Application for Reinstatement of Dental Hygienist License (rev. 5/2019)

Instructions and Application for Restricted Volunteer Dental Hygiene License (rev. 5/2019)

Instructions and Application for a Faculty License to Teach Dental Hygiene (rev. 5/2019)

Instructions and Application for a Temporary Dental Hygiene Permit (rev. 5/2019)

Continuing Education (CE) Credit Form for Volunteer Practice (rev. 5/2019)

FORMS (18VAC60-30)

Instructions and Application for Registration as a Dental Assistant II (rev. 1/2017)

Instructions and Application for Reactivation of Dental Assistant II Registration (rev. 1/2017)

Instructions and Application for Reinstatement of Dental Assistant II Registration (rev. 1/2017)

Instructions and Application for Registration as a Dental Assistant II (rev. 5/2019)

Instructions and Application Reactivation of Dental Assistant II Registration (rev. 5/2019)

Instructions and Application for Reinstatement of Dental Assistant II Registration (rev. 5/2019)

VA.R. Doc. No. R19-6039; Filed June 7, 2019, 2:42 p.m.