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Forms and Brochures
Forms Dentist Applications RDH Restorative Functions
Brochures Dental Hygienist Applications DA Restorative Functions
Cert. of Standing Request Dental Assistant... Malpractice Claim Report
General Instructor Applications
Information Requests Volunteer License Application
Anesthesia Permits Limited Access Permit
Forms
You may print and return completed forms by mail to:
Oregon Board of Dentistry
1600 SW 4th Avenue, Suite 770
Portland, OR 97201-5519
Please direct any questions or problems with downloading these forms to: Teresa.Haynes@state.or.us or 971-673-3200.

Brochures

Cert. of Standing Request

General

Information Requests

Anesthesia Permits

Dentist Applications
 
Not to be used for renewals. For renewal forms, contact the Board office.

Dental Hygienist Applications
 
Not to be used for renewals.  For renewal forms, contact the Board office.

Dental Assistant...
Dental Assistant, Certification by Credential

Instructor Applications
Contact Teresa Haynes at: 971-673-3200 for Instructor Applications.

Volunteer License Application

Limited Access Permit

RDH Restorative Functions

DA Restorative Functions

Malpractice Claim Report
Malpractice Claim Report (Insurance Company Use Only)
 
Page updated: April 04, 2008

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