Update Contact Information - College of Dental Surgeons of Alberta

CHANGE OF ADDRESS FORM

Under Section 38 the Health Professions Act, all regulated members are required to provide current contact home and work addresses, phone numbers and email addresses.

Member Information

Permit Number(Required)

This number can be found on your framed practice permit or at the top of the 'My Profile' section of the Member's website.

Mailings

Primary Work

Primary Work Phone(Required)

Primary Work Email(Required)

Home/Personal

Personal Phone(Required)

Personal Email(Required)