Central Regional Dental Testing Service

50 Years of Dental and Dental Hygiene Testing Excellence!

Duplicate Score Request

Personal Information

First Name is required.
Last Name is required.
If your name has changed, please fill in your original name.
Phone number is required and must be at least 10 digits long.
Email and Verify Email are required and must match.

Current Mailing Address

Current Address is required.
Current City is required.
Current State is required.
Current Zip is required.

Exam Details

Exam Location is required.
Exam Date is required.
If you have taken the exam more than once, please enter additional exam locations and dates:
v
Exam Type is Required
Copy of Candidate Manual ($25):
Notarize ($4):

Address to Send Scores

First Copy
Address is required.
City is required.
State is required.
Zip is required.
Country is required.
Complete address information is required.
Complete address information is required.

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Fee Information

Duplicate Score$50
Copy of Candidate Manual$25
Notarize$4