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STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH VERIFICATION OF DENTAL RESIDENCY TRAINING APPLICANT: Enter your full name and birthdate on this form and forward it to the Chief of Staff or program
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How to fill out verification of dental residency

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How to fill out verification of dental residency:

01
Obtain the verification form from the appropriate dental residency program or institution.
02
Fill out your personal information accurately, including your full name, contact information, and date of birth.
03
Provide details about your dental residency program, such as the name of the institution, the start and end dates of the program, and the type of residency you completed (e.g., general dentistry, orthodontics, pediatric dentistry).
04
Include information about any specialty or subspecialty training you received during your residency, if applicable.
05
If you completed your residency in multiple locations, provide the names and addresses of all the institutions where you trained.
06
Attach any supporting documents required, such as copies of your dental degree, transcripts, and letters of recommendation.
07
Review the completed form for accuracy and completeness before submitting it.

Who needs verification of dental residency?

01
Graduates of dental residency programs who are applying for employment or additional training may need to provide verification of their residency experience.
02
Dental licensing boards may require applicants to submit verification of their residency training as part of the licensure process.
03
Some postgraduate dental programs, such as advanced specialty training programs, may also request verification of dental residency as part of their application process.
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The verification of dental residency is a process where dental residents provide proof of their residency status.
Dental residents are required to file verification of dental residency.
To fill out verification of dental residency, dental residents need to complete the necessary forms and provide relevant documentation.
The purpose of verification of dental residency is to ensure that dental residents meet the residency requirements set by the relevant authorities.
The information that must be reported on verification of dental residency includes the resident's name, program information, and proof of residency status.
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