Project Application and Forms

How to Apply for a Dental Pilot Project

The Application Workbook for Dental Pilot Projects is currently being updated. Please contact Oregon's Dental Pilot Project Program Coordinator at sarah.e.kowalski@state.or.us or text/voice at 971-320-0108 if you are interested in the Workbook.

Forms

• Trainee Form (pdf)

Submit within 14 days of trainee entering the employment/utilization phase.

• Adverse Event Reporting Form (pdf)

Review reporting form for required submission deadlines of adverse events.

Questions?

Contact program staff at 971-320-0108 (text or voice) or email the Project Coordinator.