Apply For Membership

The link below is the Membership Application for the American Dental Association, California Dental Association and the Santa Clara County Dental Society.

Upon receipt of your completed application, which must include any advertising information attached, if applicable, we will place you in our database for all upcoming meetings and new member gatherings and information.

Photographs are used in our Membership Directory and our CompPlus Computer Program; therefore, please submit a photograph with your application. A passport photo works very well.

If you have any questions regarding the completion of this application please do not hesitate to contact us. We are here to assist you in any way possible. Please contact the Dental Society office @ (408) 289-1480.

SCCDS Membership Application (PDF)

Additional Required Forms (PDF)

Benefits And Other Information About The Tripartite

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