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Project Application and Forms

How to Apply for a Dental Pilot Project

Download and complete the "Application Workbook for Dental Pilot Projects" below. This workbook includes detailed instructions about the application process. Review instructions carefully.

The Application Workbook for Dental Pilot Projects is currently being updated. Please contact the Dental Pilot Project Program at (971) 673-1563 or sarah.e.kowalski@dhsoha.state.or.us 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) 673-1563 or email the Project Coordinator.

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