Get Tx Registered Dental Assistant Renewal Application 2020-2026

This guide provides comprehensive instructions on completing the TX Registered Dental Assistant Renewal Application online. It is designed to assist users in navigating through the application process efficiently and accurately.

Follow the steps to fill out the TX Registered Dental Assistant Renewal Application seamlessly.

1. Click ‘Get Form’ button to obtain the form and open it in the editing interface.
2. Begin by entering your first name, middle name (if applicable), and last name. Ensure the names match your legal documentation.
3. Input your registration number and the dates for both your BLS CPR issue and expiration.
4. Provide your daytime phone number and email address. This information is crucial for communication regarding your application.
5. Enter your current home address, including city, state, and zip code. Also, include your permanent address if it differs from your current address.
6. Select your preferred mailing address by checking one of the options - current, permanent, or work. This will be the address to which all Board communications will be sent.
7. Complete the employer information section. Indicate whether you are currently employed at a dental office and provide the dentist's name and license number, if applicable.
8. Address the background questions by selecting ‘Yes’ or ‘No’ for each question. Remember that all ‘Yes’ answers must be explained in detail in a separate signed and notarized affidavit.
9. Review the attestation statement carefully before signing. By your signature, you confirm that the information provided is accurate and agree to the terms specified.
10. Once all required fields are filled out, save your changes. You can also download, print, or share the completed renewal application as needed.

Complete your TX Registered Dental Assistant Renewal Application online today to ensure your continued practice in dental assisting.