Guam Board of Examiners for Dentistry

Standard Operating Procedures

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SUBMISSION OF APPLICATION:
  • Client calls to make an appointment
  • Upon receiving Application stamp with the date it was received on
  • Follow check list provided on the front of the application
    • Dentist:
      • Completed Application
      • 2 ½ x 2 ½ Photo (Signed and Dated in the back)
      • Release of Liability (Signed and Dated)
      • Practice Plan
      • Copy of Diploma (Notarized)
      • Authorization and release
      • Permit to use Dental Analgesia
      • Background Profile
      • Copy of U.S. Passport, Driver’s License or Photo Id
      • Questionnaire for Dental Employment ( If applicant answers yes to any of the question, must provide a written statement or provide documents)
      • Record of Payment (All payments must be paid at Treasure of Guam unless application was mailed in from off-island.)
      • Verification of Dental Licensure
      • Continuing Dental Education 65hr each /24 month period
      • Certificate of Dental Education
    • Dental Hygienist:
      • Completed Application
      • 2 ½ x 2 ½ Photo (Signed and Dated at the back)
      • Record of Payment (All payments must be paid at Treasure of Guam unless application was mailed in from off-island.)
      • Release of Liability (Signed and Dated)
      • Questionnaire for Dental Employment ( If applicant answers yes to any of the question, must provide a written statement or provide documents)
      • Police Clearance
      • Copy of U.S. Passport, Driver’s License or Photo Id
      • Notarized Copy of State License as a Dental Hygienist
      • Notarized Copy of Dental Hygiene Training Program Diploma
      • Certification of Dental Education
    • Dental Auxiliary:
      • Completed Application
      • 2 ½ x 2 ½ Photo (Signed and Dated at the back)
      • Record of Payment (All payments must be paid at Treasure of Guam unless application was mailed in from off-island.)
      • Release of Liability (Signed and Dated)
      • Questionnaire for Dental Employment ( If applicant answers yes to any of the question, must provide a written statement or provide documents)
      • Police Clearance
      • Copy of U.S. Passport, Driver’s License or Photo Id
      • Dental Auxiliary Training Program Diploma
      • Certification of Dental Education
    • Dental Assistant
      • Completed Application
      • 2 ½ x 2 ½ Photo (Signed and Dated at the back)
      • Record of Payment (All payments must be paid at Treasure of Guam unless application was mailed in from off-island.)
      • Release of Liability (Signed and Dated)
      • Questionnaire for Dental Employment ( If applicant answers yes to any of the question, must provide a written statement or provide documents)
      • Police Clearance
      • Copy of U.S. Passport, Driver’s License or Photo Id
      • Temporary Work Permit Issued (Follow the next number in the book when issuing a Temporary license. All Temporary License are good for 60 days)
    • Dental Laboratory Technician
      • Completed Application
      • 2 ½ x 2 ½ Photo (Signed and Dated at the back)
      • Record of Payment (All payments must be paid at Treasure of Guam unless application was mailed in from off-island.)
      • Release of Liability (Signed and Dated)
      • Questionnaire for Dental Employment ( If applicant answers yes to any of the question, must provide a written statement or provide documents)
      • Police Clearance
      • Copy of U.S. Passport, Driver’s License or Photo Id

All applications must be completed with required documents attached in order to be added to the agenda.