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The following forms should be utilized when making application for initial licensure as an Auricular Detoxification Specialist:
General Information & Checklist
Initial Application Form
FORM A - Affidavit of Applicant
FORM B - Certification of Education
FORM C - State Verification Form
FORM D - Exposure Control/Infectious Disease Prevention
FORM E - ADT Certification of Training
FORM F - ADT Program and Supervisor Information
FORM G - ADT Employer Liability Insurance Information