Membership Application

To Download an application form, click here.

Once you have completed the form, kindly submit it by fax or mail to the address below:

Office Address:

Canadian Dental Protective Association

1100 Burloak Drive, Suite 300

Burlington, Ontario L7L 6B2

Tel: (416) 491-5932
Toll Free: (800) 876-CDPA (2372)
Fax: (416) 239-3443
Toll Free Fax: (888) 678-9348