Submit a membership query

Got questions about your membership?

Our experts are here to help. Fill out the form below and a member of the team will get back to you. Fields marked with* are required.

Not a member yet? Visit our join page

What is the nature of your query? *

Use this form to request changes to your membership. Once you submit, our team will review your request and confirm any updates with you once they're processed.

Use this form to let us know you're taking a break. Our team will review your request and confirm any updates with you once they're processed.

What would you like to change?

When does this change take effect? *

Please provide your last working day

Please provide the reason for your break in practice

Expected return to work date if known

Which year(s) do you need this for?

Please specify if tax year or membership year

Return to work date *

Are you returning into the same role?

Yes

I'm not sure

Is employer indemnity proivded? Yes No Partially I'm not sure

What is your annual gross income from unindemnified private practice? *

Please provide the reason for this request*

Please provide specific details of your query *

Any other details you need to make us aware of

Help us identify you

To help us process your query as quickly as possible, we'll now ask you a few simple security questions.

Full name *

Date of Birth *

Membership number *

You can find this on any recent communications from Dental Protection.

Email address *

Please use your registered email address. This can be found on any email you have received from Dental Protection.

Telephone number *

First line of your address - optional

Eircode - optional