Verification of Dental Residency Training


Details & Requirements

Department of Public Health - Enter your full name and birth date on this form and forward it to the Chief of Staff or program director at the facility at which you completed residency training. This form must be completed by the facility and returned directly to this office.


Customer Reviews

Customer Reviews

Details & Requirements

Department of Public Health - Enter your full name and birth date on this form and forward it to the Chief of Staff or program director at the facility at which you completed residency training. This form must be completed by the facility and returned directly to this office.

Signer Resources

  • Cost: $25 + $10 per added notary seal

  • Avg Notarization Time: Eight minutes

  • Cost: $25 + $10 per added notary seal

  • Avg Notarization Time: Eight minutes