Atlantic Coast Dental Research Clinic - Registration

Continuing Education for Dental Professionals in Greater Palm Beach County

 

ACTIVE MEMBERS - Licensed dentists who wish to be Active Members in the Atlantic Coast Dental Research Clinic, who are within reasonable commuting distance and who can actively participate in the classes and clinics of the Research Clinic shall be eligible for admission subject to approval of the Board of Directors and upon receipt of the application, proof of insurance and membership dues.

 

ASSOCIATE MEMBERS - A dentist, licensed under the laws of one of the United States, the District of Columbia or a United States Territory or possession or any other national government, who is not within reasonable commuting distance for monthly meetings of the membership but who wishes to support the clinic is eligible for admission to membership as an associate member subject to the approval of the Board of Directors and upon receipt of membership dues.

 

ALLIED MEMBERS - Any certified dental laboratory technician, dental hygienist, or dental assistant, who support and desire to be active in the studies, work and programs of the corporation, shall be eligible for admission subject to approval of the Board of Directors.

 

Membership Dues

 

Dentists, Dental Hygienists, and Dental Assistants: $275.00
RDH and CDA employed by Dentists that are Active Research Clinic Members: $150.00
ORAL IMPLANTOLOGY COURSE DUES: $750.00

                      Annual  Dues permits Members to attend two courses.

 

* 2012 Dental Graduates will receive free tuition for one year.

 

Registration Form

First Name:	*    Last Name:  *
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	Course Selections - Please check all that apply
	Course Chairman Advanced Crown & Bridge Drs. Slootsky and Boudet Dental Marketing Strategies Dr. Barr Sh*t You Need to Know About Everyday Dentistry Dr. Klein Sh*t You Should Know About Medications Dr. Klein Craniofacial Pain and TMJ Disorder Dr. Abdel-Fattah Current and Future Trends in Endodontics Dr. Silberman Implants: Placement and Restoration Dr. Blake New Era in Dentistry Dr. Jiveh Oral Implantology Dr. Miller Contemporary Orthodontics Dr. Shults Oral Surgery in the Dental Practice Dr. Wayne Pediatric Dentistry Dr. Toledo Periodontal Esthetics & Regeneration Dr. Feldman Successful Removable Prosthetics Dr. Fisher
	Additional Information or Comments
	Certification & Insurance *
	I am a 2012 Dental Graduate
	By checking this box I confirm that I am a duly licensed Florida dentist and do hereby apply for membership in the Atlantic Coast Dental Research Clinic. I certify that I am presently carrying liability insurance in the minimum amount of $250,00 0/750.000. I also understand it is my responsibility to attend both the didactic and clinical sessions of my chosen course.
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