Forms and Publications
Applications
- Additional Office Permit
- Activate or Inactivate DDS License
- Activate or Inactivate RDA. RDAEF license, OA or DSA Permit
- Cancellation of Permit
- Continuing Education Provider
- Continuing Education Provider - Biennial Report
- Continuing Education Approval for Out of State Course Offered by an Unregistered California Provider
- Conscious Sedation Permit
- Course Approval for Oral Conscious Sedation (OCS6)
- Dental Sedation Assistant Permit Application
- Disabled Dentist Status
- Diversion Evaluation Committee Application
- Education Provider of Coronal Polish Course
- Education Provider of Extended Functions Course
- Education Provider of Infection Control Course
- Education Provider of Orthodontic Assistant Course
- Education Provider of Pit and Fissure Sealants Course
- Education Provider of Radiation Safety Course
- Education Provider of Registered Dental Assistant Course
- Education Provider of Dental Sedation Assistant Course
- Education Provider of Ultrasonic Scaler Course
- Education Provider of Registered Dental Assistant in Extended Functions
- Elective Facial Cosmetic Surgery Permit
- Extramural Dental Facility Permit
- Fictitious Name Permit
- Fictitious Name Permit Disassociation
- General Anesthesia Permit
- Licensure by Credential (LBC1) - Establish Eligibility for License by Credential
- Licensure by Credential (LBC3) - Certification of the Clinical Practice of Dentistry
- Licensure by Credential (LBC5) - Verification of Pending Contract for Clinical Practice
- Licensure by Credential (LBC6) - Verification of Pending Contract for Faculty Practice
- Licensure to Practice Dentistry (ADEX)
- Licensure to Practice Dentistry (WREB)
- Licensure to Practice Dentistry (WREB) After Successful Completion of the Restorative Technique Examination
- Licensure by Residency
- Loan Repayment
- Mobile Dental Clinic Permit
- New License to Replace Cancelled License
- Oral Conscious Sedation for Minors Certificate (OCS1)
- Certificate of Oral Conscious Sedation Training (OCS2)
- Oral Conscious Sedation for Adults Certificate (OCS3)
- Documentation of Adult Oral Conscious Sedation Cases (OCS4)
- Oral and Maxillofacial Surgery Permit
- Orthodontic Assistant Permit Application
- Petition to Reinstate License /Modify/Terminate Probation Application and Instructions – Coming Soon
- Portfolio Application
- Reduced Dental License Renewal Fee
- Remove Disabled Status from License
- RDA 1 - RDA Application
- RDA 2 - Certification of Board Approved RDA Program Completion
- RDA 3 - Certification of Work Experience as a Dental Assistant
- RDA 4 - Certification of Non-Approved Dental Assisting Program Completion
- RDA INSTRUCTIONS - Approved Education Pathway
- RDA INSTRUCTIONS - Work Experience and Blended Pathways
- RDA General and Law and Ethics Written Re-Examination Application
- Registered Dental Assistant in Extended Functions Application
- Registered Dental Assistant in Extended Functions Re-Exam Application
- Registered Dental Assistant Subject Matter Expert
- Referral Service
- Request for Portfolio Candidate Identification Number and Law and Ethics Examination Eligibility
- Special Permit
- Special Permit - Declaration of the Dean
- Special Permit - Applicant's Declaration
- Special Permit - Applicant's Schedule
Certifications
Forms
- Courtesy Hospitalization Form
- Dental Assisting Declaration for an Incomplete Renewal
- Dental Assisting Duplicate License Request
- Dental Assisting License Certification
- Dental Assisting Address Change
- Dental Assisting Name Change
- Dental Workforce Survey
- DDS Address Change
- Consumer Complaint
- Declaration and Request for Replacement License
- Request for Radiation Safety Certification
- Radiation Safety Certificate Replacement Form
- Request for Certification of California Dental License
- Request for Live Scan Fingerprinting Service Form
- Name Change
- Out of State Radiation Safety Certification
- X-Ray License Replacement
Publications
- Legislative Summary for End of Two-Year Legislative Session 2019-2020
- 2019 Leadership Accountability Report
- Legislative Summary for End of 2019 Legislative Session
- Strategic Plan 2017-2020
- Pediatric Anesthesia FINAL Report – December 2016
- Legislative Summary for End of Two-Year Legislative Session 2015-2016
- Dental Board of California Pediatric Anesthesia Study – Public Comment
- Legislative Summary for End of Two-Year Legislative Session 2013-2014
- Legislative Summary for End of Two-Year Legislative Session 2009-2010
- Disciplinary Guidelines With Model Language (Revised 8/30/2010)
- Dental Materials Fact Sheet - Internet Version (English)
- Dental Materials Fact Sheet - English
- Dental Materials Fact Sheet - Mandarin
- Dental Materials Fact Sheet - Spanish
- Dental Materials Fact Sheet - Folding Instructions
- Dental Practice Act Publisher
- Report on the Elective Facial Cosmetic Surgery Permit Program as Provided by Business and Professions Code Section 1638.1, January 1, 2013
- Elective Facial Cosmetic Surgery (EFCS) List of Permit Holders
- Elective Facial Cosmetic Surgery Program
- Elective Facial Cosmetic Surgery Credentialing Committee
- Hot Sheets
- Initial Dental License Fee Calculation
- Instructions for Completing an Application to Establish Eligibility for Licensure by Credential
- Health Professional Shortage Areas (Map)
- California Dental Corps Loan Repayment Agreement
- Portfolio Examination Information Packet
- Reduced Fee/Retired Status Information
- Registered Dental Assistant Permitted Duties
- PSI Candidate Handbook for the RDA General and Law and Ethics Written Exam
- Sample Contract Language for Referral Advertising Contract
- Strategic Plan 2010 - 2012
- Strategic Plan 2013 -2016