First Time Doctor

If this is your first time, the documents below are required.

The $100 deposit is due March 31, 2023
The remaining balance is due May 1, 2023

The deadline to turn in all other forms to hollyrolland@atsu.edu is May 1, 2023.

You will also need to fill out the online “Jamaica Dental Mission Form” below.

If you have any problems submitting the form, please contact Holly Rolland at hollyrolland@atsu.edu.

 

 

 

 

 

  • Certified Copy of Basic Degree Certificate – the one that says “Doctor of Medicine”

 

  • Current License

 

  • Names and Addresses of 2 Medical References

 

  • 2 Photographs (passport size)

 

  • If you were trained at an Offshore Medical School and have a Board Certificate, you will need to submit this.