Get Md Continuing Education Requirements Extension Request 2024-2026

Completing the MD Continuing Education Requirements Extension Request is essential for maintaining your dental license. This guide will walk you through each step of the online form to ensure that you can request an extension efficiently and effectively.

Follow the steps to complete your extension request online.

1. Click ‘Get Form’ button to access the extension request form and open it in your editing tool.
2. Enter your license number in the specified field to verify your credentials.
3. Select your professional designation by checking the appropriate box for either 'Dentist' or 'Hygienist'.
4. Provide your email address, ensuring you enter a valid one for correspondence regarding your request.
5. Fill in your full name in the designated field as it appears on your license.
6. Submit your current address, including street, city, and zip code to ensure proper communication.
7. Enter your phone number for any potential follow-up or clarification regarding your request.
8. State the specific reason your continuing education requirements cannot be completed by December 31, 2023, and outline your plan to fulfill these requirements.
9. Sign and date the form to validate your request.
10. Review all provided information for accuracy before final submission.
11. Once you are satisfied, save any changes to the form. You may then choose to download, print, or share the completed form as necessary.

Take a moment to complete your MD Continuing Education Requirements Extension Request online today.