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Application Wizard - Sedation Permits

Please choose one of the following:

I am applying for a new Deep Sedation/General Anesthesia permit

I am applying for a new Moderate Sedation permit

I would like to reinstate a Deep Sedation/General Anesthesia or Moderate Sedation permit

   

Initial Certification  

You have indicated that you are interested in applying for a Deep Sedation/General Anesthesia permit.

What you need in order to apply:

  • You should know and understand the laws in Virginia regarding sedation and anesthesia before completing the application. Read the definitions in 18VAC60-21-10(D) and the provisions for administration in 18VAC60-21-260 through 18VAC60-21-301 of the Regulations Governing the Practice of Dentistry.
  • Application for a Permit to Administer Deep Sedation/General Anesthesia. Please be sure that all information and questions are completed on the application. (Detailed instructions are included with this form).

Please mail this information to the following address:

Virginia Department of Health Profession
Board of Dentistry
9960 Mayland Drive, Suite 300
Henrico, VA 23233

 

Moderate Sedation  

You have indicated that you are interested in applying for a Moderate Sedation permit.

What you need in order to apply:

  • You are required to know and understand the laws and regulations in Virginia which govern the administration of sedation and anesthesia before completing the application. Particular attention should be given to the definitions in 18VAC60-21-10.D and the provisions for administration in 18VAC60-21-260 through 18VAC60-21-301 of the Regulations Governing the Practice of Dentistry. Please be aware that sedation and anesthesia laws change over time. You are responsible for knowing the current legal requirements.
  • Application for a Permit to Administer Moderate Sedation. Please be sure that all information and questions are completed on the application. (Detailed instructions are included with this form).

Please mail this information to the following address:

Virginia Department of Health Profession
Board of Dentistry
9960 Mayland Drive, Suite 300
Henrico, VA 23233

 

Reinstatement  

You have selected that you would like to reinstate a lapsed Moderate/Deep Sedation/General Anesthesia permit.

Reinstatement of a permit that has been lapsed for more than one year shall require completion of a reinstatement form and payment of a reinstatement fee.

  • Reinstatement application to administer Moderate/Deep Sedation/General Anesthesia
  • Mail the completed application and fee to:

Virginia Department of Health Professions
Board of Dentistry
9960 Mayland Drive, Suite 300
Henrico, VA 23233

Virginia Board of Dentistry
denbd@dhp.virginia.gov | Contact the Board
Nathanial C. Bryant, DDS President
Sandra Reen, Executive Director