Get Adc Initial Assessment Form

Filling out the Adc Initial Assessment Form is a crucial step for individuals seeking professional qualification assessments in general dentistry. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently online.

Follow the steps to successfully complete your form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Carefully read and refer to the 'Explanatory Notes & Checklist' to ensure you understand all requirements before starting the form.
3. Complete Section A by supplying one certified color passport-size photograph of yourself for identification. Ensure the photograph is not older than three months.
4. In Section B, provide your surname, given name(s), any previously known names, date of birth, and select your sex.
5. Fill out Section C with your contact details, ensuring your address, city, state/territory, area/postcode, country, telephone number, and email address are accurately entered.
6. Complete Section D if you are appointing someone to act on your behalf by submitting an Authority to Act form.
7. In Section E, provide details about your primary dentistry education including title of qualification, name and address of the institution, length of the course, and if applicable, internship dates.
8. Proceed to Section F to provide information about your secondary education and its language of instruction.
9. Fill out Section G with your registration/license history and any relevant details regarding refusals or disciplinary actions.
10. In Section H, detail your employment history within the last five years. If you haven't worked, include an explanation.
11. Provide professional references in Section I. Ensure they comply with the requirements set by the ADC.
12. Review and sign the declaration in Section J, confirming all information is truthful.
13. Complete Section K by detailing payment information and ensure it is enclosed.
14. Finally, save changes, download, print or share the completed form as necessary and post it along with all supporting documentation to the provided address.

Complete your Adc Initial Assessment Form online today and take the next step in your professional dental journey.