Member Confirmation Of Protection Request

If you are an Ontario dentist requesting confirmation of malpractice protection for yourself, fill out the form below. 

Member Information

Provide your name and RCDSO member I.D. number. Your name should match your RCDSO registration details. 


Member Consent 

We require your written consent to release confirmation of your malpractice protection. Download and fill out the member consent form and attach it below. 

Supported Files: .doc, .docx, .pdf, .jpg, .png, .txt

Request Details

Select the type of confirmation of protection you are requesting and how you prefer to receive the letter. 


Confirmation Of Protection
Confirmation of Protection after Retirement
Additional Information Optional

Provide any additional details regarding your request for confirmation of protection.