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Home
About
About
News
Find a Diplomate
Becoming a Diplomate
Becoming a Diplomate
Exam Application
Preparing for the Exam
Exam Results
Becoming a Diplomate FAQS
Reapplication for Prior Applicants
For Current Diplomates
For Current Diplomates
Promoting Your Designation
Maintenance of Certification
Verification of Certification
Diplomate Login
2025 Summer Exam Application - Federal Service Dentist
This online application form asks you to provide information that we will use to communicate with you and use for the ABDSM Exam. You will also be uploading copies of required documentation (described in the
current guidelines
). Before starting the online application, make sure you have copies of all documents saved to your computer.
Payment is due at the time you apply.
Application approval is not automatic; all applications are subject to approval by the ABDSM Board of Directors. Contact us at
info@abdsm.org
with any questions.
Please ensure the following information is submitted on this application:
Your full legal name, which must match your government-issued ID and professional license.
The email address that will used by the ABDSM and our exam administration vendor for communications regarding the exam.
The complete, accurate mailing address at which you would like to receive your results. If you change your address, you must notify the ABDSM. The ABDSM is not responsible for results that are delayed or not received due to inaccurate address information in this application.
A PDF copy of your current, unrestricted professional license. Limited licenses will not be accepted.
The date you completed your Mastery Program. Completion of a Mastery Program must have occurred within 3 years of submitting this application.
This form has a fee of $250.00. Please complete the form below, then click the Submit button to proceed to payment.
*
- Required Field
First Name *
Last Name *
Email *
Address *
Address 2
City *
State *
Select an Option
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
DC
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland/Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Puerto Rico
American Samoa
Federated States of Micronesia
Virgin Islands
International - N/A
Armed Forces Europe
Armed Forces Pacific
Armed Forces Americas
Guam
Zip *
Country *
Telephone *
Federal Service Status: In recognition of their commitment to public service, the ABDSM offers a significant discount on the examination fee for active duty military members and full time employees of a federal public health agency, including the Veterans Administration. To qualify for the federal service discount, you must submit verification of your active duty status (provide your military email address, or contact information that can be used to verify your status) or verification of your full time employment by a federal public health agency (contact information for the human resources office that can verify your employment status).
*
Applicant Category
Certification by the ABDSM is open to qualified applicants who are permanent residents of the United States, including territories, and Canada. International applicants who are not permanent residents of these countries are not eligible to attain ABDSM Diplomate status. For those individuals, International Certificant status is available. Applicants are required to select one of the following applicant categories:
Clinical Applicant: must hold, at a minimum, a dental degree (DDS or DMD) or its equivalent and an active
unrestricted
license to practice dentistry in the United States, including territories, or Canada.
Academic Applicant: must hold, at a minimum, a dental degree (DDS or DMD) or its equivalent and an active restricted license as dental school faculty to practice dentistry in the United States or Canada. Academic applicants must currently be a full-time employee of a dental school that is accredited by either the Commission on Dental Accreditation of Canada or the Commission on Dental Accreditation of the American Dental Association.
Applicants with a limited license (student) are not eligible to apply as academic applicants.
International Certificant: must hold, at a minimum, a dental degree (DDS or DMD) or its equivalent and an active
unrestricted
license to practice dentistry. International Certificant applicants must practice dentistry outside of the United States (including territories) and Canada.
Select the applicant category that applies to you.
*
-- No Selection --
Clinical Applicant
Academic Applicant
International Certificant Applicant
Choose 1
I attest that I have reviewed the applicant categories, that I meet all of the requirements for the category I have selected, and that I understand that if I do not meet the category’s requirements in full, I must not submit an application.
*
-- No Selection --
I agree
I do not agree
Choose 1
Professional Licensure
Your dental license must be current (unexpired). If your license expires between the time of submission and the date of your examination, you are responsible for submitting a copy of your renewed license to
info@abdsm.org.
The type of license you submit (unrestricted or faculty) must match the application category you selected. Applications with limited licenses will be rejected. International licenses should be submitted in English or with a certified English translation.
Degree (for example, DDS, DMD, etc.)
*
Dental License (PDF File Upload)
*
Dental License Expiration Date (Please enter the expiration date of your current dental license - format mm/dd/yyyy)
*
Have you ever had a license to practice dentistry/medicine suspended or limited?
*
-- No Selection --
No
Yes
Choose 1
If you have ever had your license to practice dentistry/medicine suspended or limited, please provide an explanation.
Exam Eligibility
Applicants who have completed the AADSM Mastery program or an accredited version of the program may apply for the ABDSM examination
within three years of completing their Mastery program.
If you have not yet received notification of completion from your program,
do not apply
.
Enter the date that you completed your Mastery Program (mm/dd/yy)
*
I attended the Mastery Program provided by the following course provider:
*
-- No Selection --
AADSM Mastery Program
Tufts University Dental Sleep Medicine Mini-Residency
University of Michigan Dental Sleep Medicine Mini-Residency
Tufts University 2023-2024 Dental Sleep Medicine Fellowship Program
Choose 1
Attestations
All applicants must review and answer each attestation in order to complete this exam application.
Authorization and Release: I hereby authorize the American Board of Dental Sleep Medicine to consult with the individuals I have named in my application or with whom I have otherwise been associated who may have information bearing on my qualifications to sit for the examination. I hereby release from liability all such individuals who provide information to the American Board of Dental Sleep Medicine, in good faith and without malice, concerning my professional training and competence, ethics, and other qualifications to sit for the examination.
*
-- No Selection --
I agree
I do not agree
Choose 1
Declaration: I hereby represent and warrant that (i) all information contained within this application and all documentation submitted with or in support of this application is true and correct; and (ii) I have read the
ABDSM Examination Confidentiality & Applicant Conduct Policy
and agree to abide by its terms. I understand and agree that my breach of any of the representation and warranties set forth above will result in my disqualification to sit for the examination, revocation of the certification obtained, or other appropriate sanctions.
*
-- No Selection --
I agree
I do not agree
Choose 1
Testing Conditions: I acknowledge that the testing centers and remote assessment software are owned and operated by an independent third party. The testing environment and conditions may vary between centers. ABDSM has no control over and is not responsible for the quality of the testing environment or conditions at the particular testing center or remote assessment selected by the applicant. It is the responsibility of the applicant to ensure they meet testing security requirements for their chosen delivery method; the ABDSM will not grant an additional testing date to those who fail to meet those requirements.
*
-- No Selection --
I agree
I do not agree
Choose 1
Fee: I understand that payment of the $250 fee, payable in U.S. dollars, drawn on a U.S. bank, is required in order for my application to be considered complete. I understand that $95 of this fee will be refunded if my application is rejected by the ABDSM. If I withdraw my application prior to approval, I understand that $250 will be refunded, less an administrative fee. If I withdraw my approved application prior to the
stated deadline
,
$95 will be refunded. I understand that refunds for late withdrawals will be made at the discretion of the ABDSM.
*
-- No Selection --
I agree
I do not agree
Choose 1
Application Window: I understand that I am applying for the exam window taking place July 20 - August 3, 2025. Should I request that my application be transferred to a subsequent exam administration window, I acknowledge that a transfer fee of $395 will be incurred, up to a maximum of two application transfers allowed, so long as my exam eligibility remains effective.
*
-- No Selection --
I agree
I do not agree
Choose 1
ADA (Americans with Disabilities) Accomodation
The ABDSM recognizes that individuals with disabilities may wish to take the examination and will make reasonable accommodations for applicants with verified disabilities. The ABDSM supports the intent of the Americans with Disabilities Act. Applicants are reminded, however, that auxiliary aids (and services) can only be offered if they do not fundamentally alter the measurement of skills or knowledge the examination is intended to test (Americans with Disabilities Act, Public Law 101-336). Applicants who request accommodations due to a disability must advise the ABDSM in writing at the time of application.
Click here if you require accommodation.
The applicant must submit appropriate documentation of the disability and a description of previous accommodation provided during other examinations. If the ABDSM deems it necessary, an independent medical assessment may be requested at the expense of the ABDSM.
Download a copy of the
ABDSM Exam ADA accomodation Request Form
and complete to the best of your ability. Upload a completed copy.
Upload any supporting documentation you feel is relevant to the accommodation request.
All applicants are expected to follow the published guidelines of the ABDSM – download your copy here:
Current Guidelines.
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