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Practitioner Application

Denturist Permanent Licensure Application  PDF
Written and Practical Examination Application  PDF
Supplemental Application: Authorization to Practice through Military Training or Experience Equivalency  PDF
Supplemental Application: Authorization to Practice for Military Spouse or Domestic Partner  PDF
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Denturist Training and Supervision

Supervisor Approval Application  PDF
Certification of Supervised Clinical Practice Work Experience   PDF
Temporary License Application  PDF
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Informed Consent: Custom Teeth Whitening Tray

Informed Consent: Custom Teeth Whitening Tray  PDF
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Required Courses, Providers

Comparable Course Content Comparison  PDF
Curriculum Objectives Modified  PDF​
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Licensee Information Update

Update Your Licensing Record Online
Authorization Holder Information Update Form  PDF
Affidavit of Licensure  PDF
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Consumer Forms

Complaint Form  PDF
Public Records Request Form  PDF
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