Application Forms

Click the link below for the form of your choice, complete it and mail it with your membership fee payment (payable through certified cheque, money order or credit card) to us at:

869 Dundas Street
London, ON
N5W 2Z8

Fax: 519-679-8494

Please contact us if you have questions regarding certification and upcoming certification exams.


Applications for student membership must be received and processed before completion of the program.

Apply Online

General Membership

2017 General Membership Form

2017 Certification Application

2017 Certification Application

2017 Membership & Certification Application as an Intra Oral Dental Assistant

2017 Membership & Certification Application