Just one more step to go to get enrolled! Print and fill out the two forms below. (The Disclosure Form and Application.) These can be faxed back to our office at #801.785.2007 or emailed to pdaofutah@gmail.com. Financial arrangements will also need to be made. For further assistance, please call us at #801.360.7171 or email us at pdaofutah@gmail.com. You can also fill out the online submission below and a representative from our program will get in contact with you shortly!

We are happy to assist you in any way we can! Keep in mind, tours are scheduled daily for your convenience. If you would like to schedule a tour of our facility, please call for an appointment. We are proud of our program and encourage you to come see the PDA difference!

Application (pdf)
Disclosure (pdf)

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Upon submission of this form, a representative from our office will contact you to schedule an appointment to complete enrollment, make financial arrangements, and provide class materials. If you do not want to apply online, you can print the Application and Disclosure documents and return them to our office.  They may be emailed to pdaofutah@gmail.com or faxed to 801-785-2007.

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We are excited to help you take the next steps toward your dental career. Contact us and we'll get back to you asap!