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Copyright 2004
Dental Practice Board
of Victoria
all rights reserved.

INSTRUCTIONS
To apply for registration or a certificate of good standing or to advise the Board of a change of address or name, select the appropriate application form below, complete it and return it to the Dental Practice Board of Victoria. Please note, your application cannot be lodged electronically as it must be accompanied by original documents and/or payment.
Application for registration under Mutual Recognition Law Complete this form if you are a dentist, specialist, dental hygienist, dental prosthetist or dental therapist who is currently registered in another state or territory of Australia or in New Zealand
Application for General registration Complete this form if you are a dentist, dental hygienist, dental prosthetist or dental therapist applying for general registration or if you have been registered in Victoria before and your registration has lapsed or you have non-practising registration
Application for Non-practising registration Complete this form if you are eligible for general or specific registration but you do not intend to practise dentistry in Victoria
Application for Specialist endorsement Complete this form if you are registered as a general dentist who has a specialist qualification that is recognized by the Board
Application for Specific registration to practise in a special branch of dentistry under section 7(1)(f) of the Health Professions Registration Act 2005 Complete this form if you are a dentist and your primary qualification in dental care is not recognized by the Board but your specialist qualifications are recognized
Application for Specific registration to undertake supervised training under section 7(1)(d) of the Health Professions Registration Act 2005 Complete this form if your primary qualification in dental care is not recognized by the Board and you wish to undertake supervised practice or training or training for an examination that is a qualification for registration (e.g. ADC examination)
Application for Specific registration under the Public Sector Dental Workforce Scheme under section 7(1)(c) of the Health Professions Registration Act 2005 Complete this form if you are a dentist who is to be employed under the Public Sector Dental Workforce Scheme
Application for Specific registration under section 7(1)(a)(b)(e) of the Health Professions Registration Act 2005 Complete this form if your primary qualification in dental care is not recognized by the Board and you wish to fill a teaching or research position in dental care; exchange practices with a registered practitioner (if you are an applicant from another country); provide locum services for a registered practitioner (if you are an applicant from another country); or practise in Victoria for a limited period or undertake limited practice in the public interest
Application for registration as a Student Complete this form if you are a student who is enrolled in a course in Victoria leading to qualifications that will entitle you to general registration as a dental care provider
Application for Change of Name Complete this form if you are a registered dental care provider in Victoria and wish to advise the Board of your change of name and have the register updated accordingly
Application for Change of Address Complete this form if you are a registered dental care provider in Victoria and wish to advise the Board of a change to your practice or postal address. Please Note: by law you must advise the Board within 14 days of any changes to your address
Application for Certificate of Good Standing Complete this form if you are a registered dental care provider in Victoria and require a Certificate of Good Standing from the Board

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