Applications and Forms
* Paper renewal applications are not available online. The Georgia Board of Dentistry strongly encourages licensees to renew online. If you require a paper renewal application, please contact the office of the Georgia Board of Dentistry: (404) 651-8000.
APPLICATIONS ARE VALID FOR ONE YEAR.
Dentistry - General
Application for
Inactive Status
CE for
Volunteer Work Reporting Form
Dental Continuing
Education Audit Form
Dental License
Census Data Form
Dental Out
of State Verification Form
Dentist Application
for Faculty Licensure
Dentist Application
for Licensure by Credentials
Dentist Application
for Licensure by Endorsement for Military Spouses
Dentist Application
for Public Health Licensure
Dentist Application
for Reinstatement
Dentist
Application for Licensure by Exam
Duplicate License-License
Verification Order Form
Jurisprudence Exam
and Affidavit Dentist
Volunteers in
Dentistry and Dental Hygiene Application
Dental Hygiene
Dental Hygiene
Census Data Form
Application for
Inactive Status
CE for
Volunteer Work Reporting Form
Dental Hygienist
Application for Faculty Licensure
Dental Hygienist
Application for Licensure by Credentials
Dental Hygienist
Application for Licensure by Endorsement for Military Spouses
Dental Hygienist
Application for Licensure by Exam
Dental Hygienist
Application for Reinstatement
Dental Hygienist
Online Application Supplement
Duplicate License-License
Verification Order Form
Jurisprudence Exam
and Affidavit Dental Hygienist
Volunteers in
Dentistry and Dental Hygiene Application
Dentistry - Anesthesia
Duplicate License-License
Verification Order Form
Sedation Application
for Deep Sedation General Anesthesia Permit
Sedation Application
for Moderate Enteral Conscious Sedation Permit
Sedation Application
for Moderate Parenteral Conscious Sedation Permit
Sedation Notification
of Additional Site-Change in Location
Guidelines & Information
Guidelines and
Application for Registration of Injectables
Guidelines for
General Anesthesia-Conscious Sedation Evaluation
Guidelines for
Practice Closure
Secure and
Verifiable Documents Under O.C.G.A. 50-36-2
Education Providers
CE Provider
Application for IP
Request for
Review-EDDA Program Form
Public Health/ Health Fair
Dentistry - Injectable Pharmaceuticals
Guidelines and
Application for Registration of Injectables
Board Order Compliance Forms
Monitoring Physician
Agreement
Supervising Dentist
Monthly Quarterly Report Form
Board Services, Requests, or Petitions
File
Petition for Rule Variance or Waiver
Wall Certificate
Order Form Dentistry