Course Forms

All the Forms You'll Need for Our Courses

Forms for registration and students

Registration for the school begins with gathering proper information, such as registration and disclaimers.

For your convenience and to save time for both yourself and the school, to register, please:

  1. Click the form
  2. Click “download” in your browser
  3. Open the form/file on your computer
  4. Complete the form
  5. Press the “submit” button in the form to send it via email

Course registration forms

Dental Assistant Agreement

Disclosure of Personal Medical Information

Private Class Agreement

Continuing Education Agreement

Dental Assistant Front Office Agreement

Forms for existing students

Intern Extern Invitation

Coronal Polish

Pit & Fissure

RDA Application

Radiographic Contract of Affiliation

Pregnancy Waiver

Withdrawal Notice

Course Start Date Change Request

Participating Dentist Agreement

Miscellaneous forms

Credit card authorization form

Hepatitis B refusal form