Applications & Forms

All fees are non-refundable and are required to be sent WITH the application.

• Applications for Dentist
• Applications for Dental Hygienist (Including Advanced Procedures)
• New Dental Assistant Applications
• Renewal Forms 

• Complaint Process and Form
• Name Change/Copy Request
• Verification of Licensure Request Form
• Placing my License in In-Active or Retirement Status
• Professional Entity Application
• Dispensing Permit Form
  (View the Controlled substance log example)
• Address List Request Form
• Expanded Function Request Form

• Special Volunteer License Application
• Open Records Request Form

• New Dental Lab Application for Dentist owned Lab
• New Dental Lab Application for Non-Dentist owned Lab
• Dental Lab work Authorization Form
• Mobile Dental Lab or Clinic Application

(Forms by request only.  Please email obod.board@ok.gov)

• Facility Applications - There are no fees for these applications however they do require an inspection before a permit can be issued.  Please read the following rules to ensure you understand the requirements for each:
• Facility Anesthesia Application for Pediatric Conscious Sedation - 195:20-1-3.1(d)
• Facility Anesthesia Application for Parenteral Conscious Sedation - 195:20-1-4(d)
• Facility Anesthesia Application for General Anesthesia - 195:20-1-5(d)

• Provider Applications - There is a $100 with these applications that must be included when submitted to the Board office.  These require an inspection before a permit can be issued.  Please read the following rules to ensure you understand the requirements for each:
  
• Provider Anesthesia Application for Pediatric Conscious Sedation - 195:20-1-3.1
• Provider Anesthesia Application for Parenteral Conscious Sedation - 195:20-1-4
• Provider Anesthesia Application for General Anesthesia - 195:20-1-5