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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.

Application Workbook for Dental Pilot Projects


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

Adverse Event Reporting Form
Submit on the same day any adverse event occurs


Contact program staff at 971-673-1563 or email the Project Coordinator.

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