To initate your application, please have the following information ready to submit:
1. The name and contact information of your DSM Facility
2. The name and contact information of any Satellite of Administrative locations (optional)
3. The name and contact information of the Dental Director
4. The name and contact information of the Primary Contact for this accreditation process.
5. Initial Deposit of $300.00
A form for paying the deposit will be emailed to you separately after you submit the application form.
If you are filling out this form for the first time, please click the New Submission button on the left .
If you are returning to edit or complete a previous submission, please fill out the email address and access code you set up previously and click Edit Submission.