



Each application MUST have a color copy of your driver's license or photo ID submitted.
New Dental Assistant Application - This is only for Dental Assistants that have never registered in Oklahoma before. You must obtain a Dental Assistant Permit before applying for any expanded functions. Please DO NOT send cash with application, must be check or money order only. For additional questions please email Naukeshia Johnson. THIS IS NOT A RENEWAL APPLICATION!!!!
Each Credential Application MUST have the out of state form completed and supporting documentation turned for the application to be complete.
Dental Assistant Application by Credential-This is only for Dental Assistants coming from out of state who have already obtained expanded functions and are requesting to add the duties when applying for a Dental Assistant permit.
Approved Courses:
Vaccinations, Venipuncture, and Phlebotomy Courses
Dr. Jon "Eric" Hopkins (405) 275-1055
Any Vo-Tech or facility where you can get a State Certification for Phlebotomy