This online application may be used by the licensed Texas dentist to designate a custodian of records upon initial licensure and at each renewal period. Dental records are the sole property of the dentist who performs the dental service, unless otherwise designated per Board rules. Please provide the following information to appropriately designate ownership of records and appointment of a custodian, if necessary. Please click on this link to navigate to the virtual system then follow the instructions below:

  • Log-in with User ID (email) and Password.
  • From the Quick Start Menu → Under, “Manage your license information”  you will need to choose your application. Select from the drop down menu, “Designation of Records” and then click on “SELECT” to be taken to the Introduction page to proceed.
  • After you have entered information and have made your records designation, an application summary will be available for review. If you are satisfied with the information entered then you may proceed. 
  • Upon submission of the form, you will still need to upload the designation of records form  in  order for the transaction to be processed within 24-48 hours.

If you do not see your license/registration, click the link titled, “Add License to Registration,” on the left hand side of the page and follow the instructions.  If you get an error message that reads, “Entity already exists under another user ID,” this means your license is associated with another log in or email address. Please follow this link, https://licsys.hpc.texas.gov/contact/, for assistance and in the subject line enter “ENTITY ALREADY EXISTS.”  In the body of the email include: Full Name, Profession, License Number, and email address that you want your license(s) to be under.

If you are having trouble with the online system, you may download the designation of records form below and send it to the TSBDE.

Designation of Records Form