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Registered Dental Assistant Resources

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Registration Forms

Links

Registration Forms

Title Type Size

Licensing

Title Type Size
pdf Declaration of Commitment to Ethical Practice and the Public Interest pdf 83 KB Download
pdf Consent to Release Health Information Form - Schedule C pdf 114 KB Download
pdf Consent to Release Third Party Assessment Information Form (NDEB) pdf 119 KB Download
pdf Consent to Release Regulatory Information Form pdf 114 KB Download
pdf Dentist Initial Registration Application Form - Schedule E pdf 357 KB Download

Licensing in another province

If you are a dental assistant registered with the MDA who is applying for registration and licensure in another province or territory and require a Letter of Standing, complete and submit the Consent for Release of Information Form, along with the $75.00 (+GST) processing fee to the attention of: "Manitoba Dental Association." Payment options: Cheque, Cash, Credit Card. For cheque, make payable to "Manitoba Dental Association." To pay by credit card, CLICK HERE

If you have any questions, please contact 204-988-5300, ext 851.

Please allow up to 10 business day for processing.