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Thursday, 31 July 2014
 
 
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FORMS, APPLICATIONS, FAQs, PUBLICATIONS AND IMPORTANT LINKS

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INSTRUCTIONS:  Click a profession or category below or scroll down the page to view the entire list of documents you can read and/or print.

 Dental Assistant Forms

Duplicate Certificate
Request Forms

  

    Dentist Forms    

 Dental Hygienist Forms

Miscellaneous Applications

Dental Laboratories

RENEWAL FORMS

Informational Forms & FAQ Sheets

Criminal History Evaluation Application

Agency Publications

Frequently Requested Forms:

Name Change Request Form

Change of Address Request Form

Duplicate Annual Registration Request Form

 

Duplicate Certificate Request Forms

Please include your non-refundable fee and supporting documentation with your application. 

FILE NAMEAcrobat File (PDF)
Duplicate Nitrous Monitoring Certificate Request Form
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Duplicate Pit & Fissure Sealant Certificate Request Form
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Duplicate Coronal Polishing Certificate Request Form
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Duplicate RDA Certificate Request Form

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Change of Address Form
Dental Assistants are required to submit a Change of Address Request Form within 60 days of a move.  
FILE NAMEAcrobat File (PDF)
Change of Address Request FormPDF Icon
 



Select "MORE INFO" to be directed to the Dental Board's web page covering this subject and/or form.

FORMS, APPLICATIONS, FAQs, PUBLICATIONS and IMPORTANT LINKS

  PDF 

        LEARN MORE      
RENEWAL FORMS  

   RENEW ONLINE (General Information)

 

MORE INFO

  Dentist Renewal Form:        

MORE INFO

      

   Dentist Faculty Renewal Form:  (Texas Faculty Only)

MORE INFO

     
   Dentist - Military Exemption Renewal Form: 

 

 MORE INFO

     

   Dental Hygienist Renewal Form:

MORE INFO

  
  

   Dental Hygienist Faculty Renewal Form:  (Texas Faculty Only)

MORE INFO

     

 
   Dental Hygienist - Military Exemption Renewal Form:

 

 MORE INFO

     

   Dental Assistant Renewal Form: 

MORE INFO

  

   Dental Laboratory Renewal Form:

MORE INFO

   
DENTAL LICENSURE, PERMITS,
         APPLICATIONS, AND INFORMATION

 PDF

   LEARN MORE  

 Dentist Licensure General Information 

MORE INFO

 Dental Licensure by Examination Application

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MORE INFO

 Fingerprinting Criminal Records Check for Licensure by Exam Applicants 

MORE INFO

   - Texas Residents -
      Fingerprint Criminal Records Check Instructions

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MORE INFO

   - Texas Residents - 
      FAST Fingerprint Application

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MORE INFO

   - Non-Texas Residents - 
      Fingerprint Criminal Records Check Instructions

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MORE INFO

   - Non-Texas Residents - 
     FAST Fingerprint Card Scan Authorization Form

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MORE INFO

 Verification of License, Registration and
     Board Score Request Form
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 Dental Licensure by Credentials Application

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MORE INFO

 Dental Licensure for Foreign-Educated Applicants  

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MORE INFO

 Foreign Applicants-
    Request for Regional Examining Board Approval

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MORE INFO

 Dental Temporary Licensure

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MORE INFO

 Duplicate Annual Registration Certificate Request Form

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 MORE INFO

 Charitable Dental Services Application for Authority  
    (For Retired Dentists)

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MORE INFO

 Licensure by Specialty Exam Application Process 

MORE INFO

 Dental and Dental Hygiene Faculty Licensure Application

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MORE INFO

 CE Information for Dentists and Dental Hygienists 

MORE INFO

   - Audit Procedures and CE Reporting Form (DDS & RDH) 

MORE INFO

 Retirement Request Form

 PDF Icon

 MORE INFO

 Reinstatement of a Retired License Application

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 MORE INFO

 FAQs and Information for Dentists 

 FAQ Section

 More Forms for Dentists are Below 

More Forms

DENTAL HYGIENIST LICENSURE, PERMITS, APPLICATIONS AND CE INFO

 PDF

   LEARN MORE  

 Dental Hygiene Licensure General Information 

MORE INFO

 Dental Hygiene Licensure by Examination

 PDF Icon

MORE INFO

 Fingerprinting Criminal Records Check for
      Licensure by Exam Applicants
 

MORE INFO

   - Texas Residents -  
      Fingerprint Criminal Records Check Instructions
 Image

MORE INFO

   - Texas Residents -   FAST Fingerprint Application

Image

MORE INFO

   - Non-Texas Residents - 
      Fingerprint Criminal Records Check Instructions

 Image

MORE INFO

   - Non-Texas Residents - 
      FAST Fingerprint Card Scan Authorization Form

 Image

MORE INFO

 Verification of License, Registration and
      Board Score Request Form
 Image  MORE INFO
 Dental Hygiene Licensure by Credentials

 PDF Icon

MORE INFO

 Dental Hygiene Temporary Licensure

 PDF Icon

MORE INFO

 Dental and Dental Hygiene Faculty Licensure Application

 PDF Icon

MORE INFO

 Duplicate Annual Registration Certificate Request Form

 PDF Icon

 MORE INFO

 Retirement Request Form

 PDF Icon

 MORE INFO

 Reinstatement of a Retired License Application

 PDF Icon

 MORE INFO

 Application for Nitrous Oxide Monitoring Certificate

 PDF Icon

MORE INFO

 Pit and Fissure Sealant Certification for Dental Hygienists  

MORE INFO

 Texas Dental Hygiene WREB Examiner Appointment Process

 PDF Icon

MORE INFO

 Continuing Education Information for Hygienists and Dentists 

 MORE INFO

    - Audit Procedures and CE Reporting Form (DDS & RDH)

 PDF Icon

 MORE INFO

 FAQs and Information for Dental Hygienists 

 FAQ Section

 More Forms for Dental Hygienists are Below 

More Forms

 DENTAL ASSISTANT REGISTRATION APPLICATIONS

 PDF

   LEARN MORE  


 Dental Assistant Registration Application
  

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MORE INFO

 Coronal Polishing Application Packet

 PDF Icon

 MORE INFO

 Nitrous Oxide Monitoring Certificate Application

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MORE INFO

 Pit and Fissure Sealant Application

PDF Icon

MORE INFO

 Duplicate Annual Registration Certificate Request Form
  (License for Multiple Offices)

 PDF Icon

 MORE INFO

 Difference Between an RDA, CDA and a Qualified Dental Assistant 

MORE INFO

 Continuing Education Information for Dental Assistants 

MORE INFO

 Dental Assistant FAQ  - Answers to Frequently Asked Questions  

MORE INFO

 Verification of License, Registration
     and Board Score Request Form
 
PDF Icon
 MORE INFO
 RDA Course Results Information for Dental Assistants 

MORE INFO

 Laws and Rules Pertaining to Dental Assisting 

MORE INFO

 More Forms for Dental Assistants Below 

More Forms

DENTAL LABORATORY REGISTRATION APPLICATION AND INFORMATION 

 PDF

  LEARN MORE 

  Dental Laboratory Registration Application

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  Jurisprudence Requirement for Laboratory Owners/Managers 

MORE INFO

    -  New Laboratories Conducting Business in Texas 

MORE INFO

    -  Currently Registered Texas Laboratories Renewing
       their Registration
 

MORE INFO

 Continuing Education Information for Dental Laboratories 

MORE INFO

   
MISCELLANEOUS APPLICATIONS

 PDF

  LEARN MORE  

 Criminal History Evaluation Application

 PDF Icon

 MORE INFO

 Mobile Dental Facility or Portable Dental Unit Permit Application

 PDF Icon

MORE INFO

 Mobile Facilities/Portable Units - Current Registered Facilities 

MORE INFO

 Dental Assistant Course Provider Application
    (RDA (Radiology) Certification Provider)

 PDF Icon

MORE INFO

INFORMATIONAL FORMS AND FAQs

 PDF

 LEARN MORE  

 ORDER FORM - Dental Board Publications & Forms (Listed Below)

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   -- Consumer Signage for Dental Offices (for Patient Complaints)  
   -- SBDE Rules and Regulations   
   -- Dental Practice Act (Texas Laws)  
 Dental Practice Impact Sheet

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MORE INFO

 Dental Hygienist License Impact Sheet

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MORE INFO

 Dentist and Dental Hygienist Licensure by Examination FAQ

 PDF Icon

MORE INFO

 Dental Assistant FAQ 

MORE INFO

 Legal FAQ (Answers to Rules and Laws FAQs) 

MORE INFO

 Jurisprudence Requirement FAQ

 PDF Icon

MORE INFO

CHANGE REQUEST FORMS, CHECKLISTS AND PROCESSES

PDF

  LEARN MORE  

 Dentist & Dental Hygienist Name Change Request Form

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 Dental Assistant Name Change Request Form

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 Affidavit of Destruction or Loss of Texas Dental/Dental Hygiene License

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 Duplicate Annual Registration Certificate Request Form (License for Multiple Offices) 

 PDF Icon

 MORE INFO

 Change of Address Form

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 Complaint Form  (and How to File a Complaint)

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MORE INFO

 Complaint Investigation Process  

MORE INFO

 Release of Records (Submit with the Complaint Form)

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MORE INFO

 Self-Monitoring Checklist 

MORE INFO

 Order Form - Dental Board Publications & Forms (Listed Below)

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    - Rules and Regulations of the SBDE 

MORE INFO

    - Texas Occupations Code (Dental Practice Act) 

MORE INFO

    - Consumer Signage for Dental Offices (Patient Complaints)

 

 

AGENCY PUBLICATIONS

PDF

  LEARN MORE  

 Rules and Regulations
     (with current links to the Texas Administrative Code)

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MORE INFO

    Rules FAQ (Frequently Asked Questions)

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MORE INFO

 Texas Occupations Code - Dental Practice Act 
     (with links to the Texas Occ Code)

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MORE INFO

 Legislative Appropriations Request (LAR) for Fiscal Year 2010-11

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 Compact with Texans

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IMPORTANT LINKS

 

        LEARN MORE  

 Professional Recovery Network 

MORE INFO

 Verify a Dental Professional License or Registration 

MORE INFO

 Useful Links to Professional Associations, State and Government Agencies 

MORE INFO

 Jurisprudence Assessment Assistance 

MORE INFO

 Contact the Dental Board 

MORE INFO

 
 
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