As of January 1, 2010, dental residents in programs approved by the Commission on Dental Accreditation of the American Dental Association are no longer required to obtain a limited permit in order to practice in the residency program. Residents are required, however, to register annually with the Department and pay an annual fee of $105.00. Residents should contact the program’s residency director regarding the registration procedures.
- Section I: If you are applying for a limited permit, complete this section before having your prospective employer complete Section II or III, whichever is applicable. Your signature on Form 5 must be notarized by a Notary Public.
- Section II: If you are requesting the limited permit for instructing in dentistry, have your prospective employer complete Section II.
- Section III: If you are requesting the limited permit for an approved dental residency, have your prospective employer complete Section III.
Return the completed form with the $105 fee to the Office of the Professions at the address at the end of the form. If you did not complete the required coursework or training in the identification and reporting of child abuse as part of a New York State educational program, you must submit a certificate of completion from an approved provider or an exemption form (Form 1CE).
Remember that you must have your dental school submit a Certification of Professional Education (Form 2) before your limited permit application can be evaluated.