Resources and Forms

FORMS

Application to Convert Inactive License to Active Status

Application for Reinstatement of a Cancelled License

Certification of Licensure

Certification of Specialty Training

Criminal Conviction Disclosure Form

Dental Hygiene Licensure Methods and Requirements

Dental Records Release

Dentist/Dental Specialist Licensure Methods and Requirement

Duplicate License Application

Inquiry on Impact of Conviction Form

License Verification Request Form

Licensee Mailing List Purchase Order Form

Medical Malpractice Prelitigation Claim Form

Name and Address Change Notification

Office Inspection Form

Proof of Clinical Practice Affidavit

Volunteer Application

LINKS and OTHER INFORMATION

American Association of Dental Boards (AADB)

American Dental Association (ada.org)

American Dental Hygienists’ Association (ADHA)

Dental Assisting National Board (DANB)

Idaho Board of Pharmacy Controlled Substance Registration

Idaho Dental Hygienists’ Association (idha.org)

The Idaho Oral Health Alliance

Idaho Oral Health Program

Idaho State Dental Association

Western Regional Examining Board (CDCA-WREB-CITA)