Program registrants are required to provide the following documentation, along with their registration application (which you can download at the bottom of this page) and a $2,000 non-refundable deposit by August 1, 2014.
Please submit copies of your:
*RDAs are required to provide liability insurance for the duration of the program since they will be working on patients and fellow students. A copy of the liability insurance certificate must be submitted before the start of the program.
**If there is more than one student per office taking this program, a dentist may supervise all the assistants from that office throughout the duration of the program.
All RDAs are required to provide professional liability insurance for the duration of the program since they will be working on patients and fellow students. Existing RDAEFs are not required to provide liability insurance, since they will not be working on patients at the dental school. A copy of the liability insurance certificate must be submitted to Pacific, before the start of this program. The following list of resources provides suggestions gathered from former RDAEF students. Pacific has no affiliation with, nor do we endorse any of these companies. You are free to choose your own insurance company.
National Professional Purchasing Group Association, Inc.
% Lockton Companies, Inc.,
PO Box 410679
Kansas City, MO 64114-0679
Representatives are available 8:00 am - 5:00 pm CST , 877.539.6372
Healthcare Providers Service Organization
159 E. County Line Road, Hatboro, PA 19040-1218,
Insurance provided by American Casualty Company of Reading, PA,
333 S. Wabash Ave, Chicago, IL
Complete and return application, supporting documentation and $2,000 non-refundable deposit (check or credit card) to:
Continuing Dental Education
University of the Pacific
Arthur A. Dugoni School of Dentistry
155 Fifth Street, 4th Floor
San Francisco, CA 94103
Questions? Call us at 415.929.6486 or email firstname.lastname@example.org