Prerequisite Declaration Form


Please input your name as indicated on your formal application:

Surname or Last Name is required.  

OUAC reference number is required.
(e.g. 2025-000000)

To assist the Admissions Office in processing your application, complete the chart below.

Prerequisite Course Requirements

Subject University Year Taken Title & Course No(s) Full/Half Year Course
Physiology
Biochemistry
Organic Chemistry

You may be required to provide detailed course syllabi information to verify your courses meet our prerequisite requirements. Please check your Student Center for updates.

If we determine that your physiology background is not equivalent to our requirement, are you willing to take the physiology challenge exam?

Information on this challenge exam as well as current Western physiology equivalents at other Canadian universities is available from http://www.schulich.uwo.ca/dentistry/docs/future_students/physiology_approved_courses.pdf. Please note: All results of the challenge exam are final.

All information on this form must be provided in full or the application will not be considered by the Admissions Committee. False information will invalidate the application and result in the immediate rejection of the applicant and/or dismissal if he/she has been admitted.

I attest to the information completed above and wish to submit this supplemental application form to support my formal application.