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Online Recertification Application - The American Dental Board of Anesthesiology

For a downloadable version of the Recertification Application Template, please click here.

For a downloadable version of the Recertification Application, please click here.


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Record of Continuing Education


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I certify that the above information is accurate to the best of my knowledge and that I have made no false or misleading statements. I understand that inaccurate information will invalidate my application and that false or misleading information will disqualify me from this or any future applications to the ADBA. I understand and agree that submission of this application authorizes the ADBA, its officers and agents to take whatever steps are necessary to authenticate and verify the information provided on this application.

The costs for recertification are included in your annual registration fees.