Royal College of
Dental Surgeons of Ontario
Contact Us info@rcdso.org RCDSO Member Login
Filter

Practice Name Registration Application Form

Fill out the form to request approval of a practice name by the College. You can also review the College's Practice Advisory on Practice Names

We do not grant the exclusive right to use practice names. Our approval of a practice name should not be construed in any way to be a grant of the right to use such name at law.

Consult with the Ministry of Government Services and your lawyer to determine whether this name has been registered with the Ministry and/or has exclusivity secured by law. 

    For new practices, indicate date of opening Error : Opening Date is required
    Please list the full names of all dentists practicing at this location

    For each dentist, please list the RCDSO registration number after each dentist’s name; indicate whether the dentist listed is the Principal (P) dentist or an Associate (A); and if this office will be the primary office address for each of the listed dentists.

    Principal or AssociateMandatory Error : Indicate principal/associate
    Dentist's Primary AddressMandatory Error : Indicate primary/not primary

    Do any of the dentists listed above practice at any other location? : Indicate whether any of the dentists practice at any other location
    If the answer is “Yes”, please list the dentist’s name and give the address(es) of the other location(s).
    (Please use the back of this form if additional space is required.)

    Your application has been submitted!

    You will receive email confirmation of your practice name application. Someone from the College will reach out to you shortly. Thank you. 
    Something went wrong with the submission.
    Please correct the ${amount} error(s) detected below.