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For current CDA Program students. If you're starting enrollment and need an accommodation, a deposit refund, or to cancel, you can use this page too.
Download the form you need, fill it out, sign it, and email it to hello@californiadentalassistant.com with the form name in the subject line. Prefer to fill it out online? You can also request a digital version of any form from the same email.
Need a change to how you take classes or tests because of a disability or health condition?
Short on money this month? Lower one monthly payment to $25.
Need to pause your program for a serious personal reason?
Running out of time near the end of your enrollment window? Add 3 or 6 months.
Something went wrong with staff, a class, or your internship office? If it involves your coordinator, email us with the subject line "Confidential Report" instead.
Disagree with a decision about your enrollment? Ask us to review it.
Each form above shows its response time. Most requests get a written answer within 5 to 7 business days. Records requests take up to 10 business days.
Yes. Click "Request digital form" on any card, or email hello@californiadentalassistant.com, and we'll send you a version you can fill out and sign online.
No form is needed. Email hello@californiadentalassistant.com with the right subject line. "Deposit Refund": before you sign your Student Enrollment Contract. "Cancellation": within 3 calendar days of signing. "Withdrawal Request": any time after that.
Email hello@californiadentalassistant.com with the subject line "Records Request" for a copy (within 10 business days). To fix something, email us the details of what needs to change.
Ask your Student Success Coordinator or email hello@californiadentalassistant.com. For questions about your balance, call billing at (916) 587-7796.
Shaping the future of dental care.
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