Virginia Board of Dentistry
Forms, Applications, and Exam Info
Unless otherwise noted, the below documents are in Microsoft Word format. If you do not have Microsoft Word, you can get the Microsoft® Word Viewer 97/2000 to view and print documents. To view the PDF files below you'll need the free Adobe Acrobat Reader.
Dentist / Dental Hygienist Forms
Applicants for a Dental license (by Examination or Credential) or a Dental Hygienist license (by Examination or Endorsement) may now begin the application process by submitting the application fee online. Click here to begin the online application process.
Dental Application and Instruction Sheet - Revised March 30, 2012
Dental Hygiene Application and Instruction Sheet - Revised March 29, 2012
Dental Law Exam Candidate Information Bulletin (pdf)
Restricted Volunteer License to Practice Dentistry and Dental Hygiene - Application and Instructions - Revised November, 2010
Reactivation application for Dentists and Dental Hygienists - Revised Feb. 2010
Reinstatement application For Dentist and Dental Hygienist - Revised May 2010
Oral and Maxillofacial Surgeon/Cosmetic Procedure Certification
Oral and Maxillofacial Surgeon Registration of Practice - Revised Feb. 2010
Oral And Maxillofacial Surgeon Reinstatement Of Registration Of Practice - Revised Feb. 2010
Certification to Perform Cosmetic Procedures Application - Revised March 2012
Temporary Resident / Teacher / Mobile Dental Facility / Portable Dental Operation
Temporary Resident's License to Persons Enrolled in Advanced Dental Education Programs Application and Instructions - Revised March 28, 2012
Mobile Dental Facility or Portable Dental Operation Application for Registration - Revised Jan. 14, 2010
Teacher's License Or Full-Time Faculty License Application and Instructions - Nov. 16, 2010
Volunteer Practice Forms:
Instruction Sheet - Revised Aug. 5, 2008
Volunteer Practice Sponsor Form - Revised Aug. 5, 2008
Application for Registration for Volunteer Practice - Revised Aug. 5, 2008
Dental Assistants
Instructions for Dental Assistant II Applicants - March 23, 2011
Application for Registration as a Dental Assistant II - Revised Feb. 9, 2012
Form A - Certification Of Dental Assisting Education - Revised Feb. 8, 2012
Form B - Duties - October 17, 2011
Form C - Certification Of Authorization To Perform Expanded Duties As A Dental Assistant - March 23, 2011
Exam Information
Regional Examinations
CITA (Council of Interstate Testing Agencies) www.citaexam.com
Effective September 1, 2007 accept passing scores
CRDTS (Central Regional Dental Testing Services, Inc.) www.crdts.org
Effective January 1, 2005 accept passing scores
NERB (North East Regional Board) www.nerb.org
Effective Jan. 1, 2005 accept passing scores
SRTA (Southern Regional Testing Agency) www.srta.org
Accept passing scores from any year
WREB (Western Regional Examining Board) www.wreb.org
Effective 1, 2005 accept passing scores
National Boards
Administered by the American Dental Association www.ada.org
Jurisprudence Examination
Read the Candidate information Bulletin
PSI - www.psiexams.com
This exam is not required to complete an application for licensure; however
it is recommended that applicants take the Virginia Dental Law examination
to evaluate their understanding of the applicable laws and regulations governing
the practice of dentistry and dental hygiene in the Commonwealth of Virginia.
Effective December 14, 2007- When you voluntarily take and pass the Law examination, the Virginia Board of Dentistry will grant 3 hours of continuing education credit towards the continuing education requirement for renewal of a dental or dental hygiene license.
Inspection Form:
Dental Office Inspection Form Revised 4/2005
Dental Labs
Dental Laboratory Work Order Form (pdf) - Revised Feb. 2012
Dental Laboratory Subcontractor Work Order Form (pdf) - Revised Feb. 2012