Oregon board of dentistry nitrous oxide permit form 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and Oregon License Number in the designated fields. Ensure that all information is accurate to avoid processing delays.
3. Fill out your mailing and business addresses, including city, state, and zip code. This information is crucial for correspondence regarding your application.
4. In Section I, provide detailed descriptions of your formal training in nitrous oxide administration. Include course titles, hours spent in clinic and classroom settings, and sponsoring institutions.
5. For Section II, outline your pre-operative evaluation procedures and attach any relevant documents such as informed consent forms and health history forms.
6. Continue with Sections III to V by describing your operative procedures, post-operative standards, and emergency protocols. Be thorough to ensure compliance with board requirements.
7. Finally, review all entries for accuracy before signing and dating the form at the bottom. Submit the completed form along with the $40 fee as instructed.

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