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Qualification Form - Council of Interstate Testing Agencies

Qualification Form - Council of Interstate Testing Agencies 2026

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The document is a Dental Candidate Qualification Form from the Council of Interstate Testing Agencies, Inc. (CITA) for candidates applying to take the ADEX Dental Licensure exam. It outlines the eligibility requirements for candidates, including those enrolled in accredited dental programs, graduates, and international dentists. Candidates must confirm their qualifications by signing the form and are responsible for ensuring they meet all application requirements. The document also includes provisions regarding discrepancies, ethical obligations, and consent for information sharing with member states and testing agencies.

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Click ‘Get Form’ to open the Qualification Form in our editor.
Begin by reviewing the qualifying categories. Initial only one category that applies to you, ensuring you understand the requirements for each.
If you are a D3 or D4 student, provide your dental school name and anticipated graduation date. Ensure to obtain the designated school signature if required.
For graduates, attach verification of graduation (diploma, transcript, etc.) as specified in the form.
International candidates must secure a letter from a State Dental Licensing Board authorizing them to take the exam. This letter should be mailed directly to CITA.
Acknowledge your qualification by signing at the bottom of the form and providing your exam history as applicable.
Finally, ensure that a notary public completes their section and affixes their stamp before submission.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (57 Votes)
2020	4.2 Satisfied (65 Votes)
2017	4.3 Satisfied (56 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How many questions does Adex OSCE have?

The items in the OSCE will include multiple choice (traditional/single response), multiple choice (multiple response), extended match, drop down, fill in the blank, hot spot, and drag drop questions. There are roughly 100 scored items on the CSCE OSCE, and a varying number of pilot questions.

What is the CDCA portal used for?

The CDCA login process is designed to provide secure access to dental credentials, ensuring the integrity of dental professionals information.

What is the difference between OSCE and ADEX?

ADEX Dental Hygiene Clinical skills include detection and removal of calculus, accurate periodontal pocket depth measurements, and tissue management. The Computer Simulated Clinical Examination (CSCE) OSCE is designed to assess various levels of diagnosis and treatment planning knowledge, skills, and abilities.

What is Adex OSCE?

The ADEX CSCE OSCE The CSCE OSCE utilizes a simulated true-to-life environment to demonstrate all aspects of dental hygiene other than direct hand skills, which are tested in the Simulated Patient Clinical Examination, or Patient Treatment Clinical Examination.

Which states do not accept Adex?

Jurisdictions not accepting the ADEX Dental Examination for initial licensure are depicted in grey and include Delaware, and New York.

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