Related Links

• Disaster Healthcare Volunteers
• Department of Consumer Affairs
• Business and Professions Code
• State of California Website
• California Legislative Information

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
• 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
• Disabled Dentist Status
• Remove Disabled Status from License
• Diversion Evaluation Committee Application
• 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 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
• Registration of Sponsoring Entity Under Business & Professions Code Section 901, Form 901-A (DCA/2014 - revised)
• Request for Authorization to Practice Without a License at a Registered Free Health Care Event, Form DBC-901-B (Revised 03/2014)
• 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
• Licensure to Practice Dentistry (WREB)
• Licensure to Practice Dentistry (WREB) After Successful Completion of the Restorative Technique Examination

• Certifications
• Clinical Residency Completion
• Conscious Sedation Training
• Out of State/Country License

• 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 Service
• DDS Renewal, WREB, Residency, Portfolio, and Credential Applicants
• RDA Renewal, RDA, RDAEF, OA, and DSA Applicants.
• Name Change
• Out of State Radiation Safety Certification
• X-Ray License Replacement

• Publications
• 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

• Reports
• Report on Portfolio Examination
• Report on the Elective Facial Cosmetic Surgery Permit Program as Provided by Business and Professions Code Section 1638.1, January 1, 2017
• Dental Board of California Final Report - User Fee Audit
• Report on Peer Review Referrals as Provided by Business and Professions Code Section 806 For Fiscal Year 2011/2012
• Report on Peer Review Referrals as Provided by Business and Professions Code Section 806 For Fiscal Year 2013/2014
• Report on the Dental Board of California's Enforcement Program
• Sunset Review 2014
• Occupational Analysis of the Registered Dental Assistant (RDA) Profession - April 2016
• Occupational Analysis of the Registered Dental Assistant in Extended Functions (RDAEF) Profession - Revised - Nov 2016