Program registrants are required to provide the following documentation, along with their online registration application and a $2,000 non-refundable deposit by July 1, 2017. The online application will be available soon.
Please submit copies of the following to firstname.lastname@example.org by July 1, 2017:
*RDAs are required to provide liability insurance for the duration of the program since they will be working on patients and fellow classmates. 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 up to three 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
To apply for the program, complete the online application and pay a $2,000 non-refundable deposit with a credit card. Then, email your supporting documentation to email@example.com by July 1, 2017.
Questions? Call 415.929.6486 or email us at firstname.lastname@example.org.