GKAS Dentist Volunteer CE Request Form

Ohio law permits dentists to earn continuing education credit for providing free dental care. You may be eligible to claim CE credit for your participation in a GKAS program if you provided services that are substantive in nature (clinical) and those services were provided without any remuneration to you or the sponsoring program. Credit hours are awarded at a ratio of one credit hour of CE for each sixty minutes spent providing free dental care. Dentists may earn up to thirteen credit hours of CE per biennium for volunteer service.

To qualify for CE credit, please complete the form below (or click here to download a form) to document the type of donated treatment you have voluntarily provided through the GKAS programs and the number of volunteer hours you provided clinical treatment. Upon verification of the information contained on this form, the ODA will issue your CE slip to the address shown below. Incomplete forms will not be processed.

NOTE: Education and/or oral hygiene instruction only GKAS programs are not considered clinical in nature and do not count toward CE credit.

Ohio Revised Code 4745.04: “A licensing agency that licenses health care professionals shall permit a licensee to satisfy up to one-third of the licensee’s continuing education requirement by providing health care services as a volunteer. A licensing agency that licenses health care professionals shall permit a licensee to earn continuing education credits at the rate of one credit hour for each sixty minutes spent providing health care services as a volunteer.”

Questions?

Contact Carley Circosta, ODA Manager of Public Service, at 614-486-2700 or carley@oda.org.