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  • Arkansas State Board Of Dental Assistant Change Of Address Form

Get Arkansas State Board Of Dental Assistant Change Of Address Form

Ygienist Registered Dental Assistant I WOULD LIKE TO NOTIFY THE BOARD OF THE CHANGE OF MY: Name Former Name: New name: Home address Old Address: New Address: Office Address Old Address: New Address: Phone & Fax Numbers Old phone & fax #'s: New phone & fax #'s: For newly licensed dentists in Arkansas only: I would like to receive the Education Packet for registering dental assistants in Arkansas. INSTRUCTIONS: You can print this form by clicking on the "Print Form" button and subm.

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A dental assistant may apply fit and fissure sealants under the personal supervision of a licensed dentist. Dentists, dental hygienists, and dental assistants who participate in an invasive procedure must change surgical masks between each patient.

Dental Assistants must hold a current permit issued by the Arkansas State Board of Dental Examiners to perform dental radiography, coronal polishing, administration/monitoring of nitrous oxide, and sedation monitoring in the dental office.

ASBDE Complaint & Feedback Discuss the issue with the dentist. Small claims court. Mediation through the Arkansas State Dental Association's Peer Mediation Committee (contact them at 501-834-7650) Contact the Better Business Bureau.

Passage of the Arkansas Jurisprudence Examination: The jurisprudence examination is an open-book exam that covers the Dental Practice Act/Dental Corporation Act/Rules and Regulations of the Board. The exam will be emailed to you upon receipt of your dental license application and fee.

Unnecessary Services. A dentist who recommends or performs unnecessary dental services or procedures is engaged in unethical conduct. The dentist's ethical obligation in this matter applies regardless of the type of practice arrangement or contractual obligations in which he or she provides patient care.

You will need to describe your relationship with the patient (e.g. parent of the patient) and why the patient is unable to lodge the complaint personally. Provide a summary of the date(s) / time and location(s) of the incident(s). List the allegations against each dentist/OHT and provide details.

ASBDE Complaint & Feedback Discuss the issue with the dentist. Small claims court. Mediation through the Arkansas State Dental Association's Peer Mediation Committee (contact them at 501-834-7650) Contact the Better Business Bureau.

You may also call the Arkansas Department of Health main number at 501-661-2000.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232