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Enrollment

Our Enrollment form is in a PDF format. If your are unable to print it, please contact us and we will send it to you by mail or fax.

1. Download Dental Assistant Enrollment Agreement #101

Click here for Dental Assistant Enrollment Agreement Form

2. Download Dental Administrative Assistant Course Agreement #102

Click here for Dental Administrative Assistant Course Agreement Form

3. Download Dental Office Management Course Agreement #103

Click here for Dental Office Management Agreement Form

4. Download CPR Certification Course Agreement #105

Click here for CPR Agreement Form

5. Please select which course you would like to register for:

6. Please fill out the student registration form below

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Copyright © Dental Assisting Training & Certification Program of Virginia LLC. Gainesville, Virginia
debbiewentworth@datcpofva.com
 For questions Call 866-249-2440 or Fax 866-207-7823