Local Anesthesia for the Dental Hygienist Certification Course 505

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Local Anesthesia for the Dental Hygienist Certification Course 505
Please
Please
complete
complete
one one
formform
per registrant
registrant
per registrant
Please
complete
one
form
per
NAME
NAME
NAME
Registration
Permit No. 39
Nonprofi
t Org.
Nonprot
Nonprot
Org.
Org.
U.S.
Postage
U.S.
U.S.
Postage
Postage
Nonprot Org.
PAID
PAID
PAID
U.S.
Postage
Albuquerque,
NMNM
Albuquerque,
Albuquerque,
PAID NM
Permit
No.No.
3939
Permit
Permit
No.
Albuquerque,39
NM
Registration
Registration
Form
Form
Form
Address:
Address:
Address:
Please complete one form per registrant
City:City:
City:
NAME_______________________________
State:
State:
Zip:
State:
Zip:Zip:
Address:______________________________
Phone:
Phone:
Phone:
City:_________________________________
E-Mail:
E-Mail:
E-Mail:
State: ___________Zip:_________________
Course
Course
Name:
Name:
Course
Name:
Phone:_______________________________
Local
LocalAnesthesia
Anesthesiafor
for
the
theDental
DentalHygienist
Hygienist
Local Anesthesia for
the Dental Hygienist
Certification
Certification
Time:
Time:
Fee:
Time:
Fee:Fee:
E-Mail:_______________________________
Course
Course
Name:
Name:
Course
Course Name:
Name: _________________________
Time:
Time:
Fee:
Time:
Fee:Fee:
Time:____________________Fee:_________
PAYMENT
PAYMENT
BY:BY:
PAYMENT
BY:
Course Name:
_________________________
CHECK
CHECK
CHECK
Time: _________________Fee:___________
TOTAL
TOTAL
PAYMENT
PAYMENT
AMT$
AMT$
TOTAL
PAYMENT
AMT$
PAYMENT
BY:
CHECK
MASTERCARD
For
For
Credit
Credit
Card
Card
Payment:
Payment: VISA
For
Credit
Card
Payment:
Course
Course
Certification
https://goo.gl/lwHszS
https://goo.gl/lwHszS
https://goo.gl/lwHszS
EXPIRATION
DATE:__________________
Course
505-272-8205
505-272-8205
272-5584.
information
to (505)
For
more
more
information,
information,
please
please
contact
contact
ForFor
more
information,
please
contact
For more information, please contact
Cynthia
Cynthia
Guillen,
Guillen,
at 505-272-8205.
505-272-8205.
at 505-272-8205.
Cynthia
Guillen,
at
Cynthia
Guillen,
at 505-272-8205.
Albuquerque, NM 87131
Mail
and registration
form(s)
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check
andcheck
and
registration
registration
form(s)
form(s)
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check
and
registration
form(s)
1
UNIVERSITY
OF
NEW
MEXICO
1 UNIVERSITY
UNIVERSITY
1 UNIVERSITY
OF OF
NEW
NEW
MEXICO
MEXICO
1
OF
NEW
MEXICO
Dental
Hygiene
Dental
Dental
Hygiene
Hygiene
Dental
Hygiene
MSC09
MSC09
MSC09
5020
5020 5020
MSC09
5020
ALBUQUERQUE,
NM 87131.
ALBUQUERQUE,
ALBUQUERQUE,
NMNM
87131.
87131.
ALBUQUERQUE,
87131.
You may faxNM
your
registration, with credit card
TTHE
HE
UUNIVERSITY
NIVERSITY
OF
NNEW
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MEXICO
EXICO
THE
UNIVERSITY
OFOF
NEW
MM
EXICO
HEALTH
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Dental
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SCIENCES
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University
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MSC
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Albuquerque,
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Albuquerque,
Albuquerque,
NM
NM
87131
87131
1 University of New Mexico
https://secure.touchnet.com/C21597_ustores/web/store_
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TOTAL PAYMENT AMT$_____________
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CREDIT
OR
OR CARD # _____________________
OR
505-272-8205
Local
Local
LocalAnesthesia
Anesthesia
AnesthesiaCourses
Courses
Courses2016
2016
2016- -17
-17
17
Local
Local
LocalAnesthesia
Anesthesia
Anesthesiafor
for
forthe
the
the
Practicing
Practicing
Practicing
Dental
Dental
DentalHygienists
Hygienists
Hygienists
December
December
December7-10,
7-10,
7-10,2016
2016
2016 9AM
9AM
9AM- -4PM
- 4PM
4PM
Price:
Price:
Price:
$1,300
$1,300
$1,300
40
40
40CEUs
CEUs
CEUs
Local
Local
Local
anesthesia
anesthesia
anesthesia
for
for
for
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practicing
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dental
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a a5a 5day
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course
course
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that
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that
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from
March
March
March
3 3-3-4,
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4,
2017
2017
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atatat
UNM,
UNM,
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allowing
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this
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course.
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exam
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must
must
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register
register
online
online
online
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www.wreb.org
www.wreb.org
www.wreb.org
toto
to
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qualify
qualify
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the
theexam.
exam.
exam.
This
This
ve
ve
day
day
course
course
includes
includes
allall
all
the
the
information
information
This
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day
course
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that
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information
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requirements
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and
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allowing
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practicing
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hygienist
hygienist
the
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hygienist
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licensure
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anesthesia.
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Dental
Dental
Dental
hygienist
hygienist
hygienist
who
who
who
register
register
register
for
for
for
this
this
course
course
will
will
receive
receive
the
the
course
course
packet
packet
and
and
this
course
will
receive
the
course
packet
and
textbook
textbook
onon
on
the
the
rst
rst
day
day
ofof
of
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class.
Class
Class
size
size
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textbook
the
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size
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limited,
limited,
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so
registrations
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registrations
will
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will
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be
accepted
accepted
accepted
onon
on
a aa
rst
rst
rst
come
come
come
basis.
basis.
basis.
Participants
Participants
Participants
need
need
need
toto
to
bring
bring
bring
two
two
two
syringes,
syringes,
syringes,
calculator,
calculator,
calculator,
and
and
and
safety
safety
safety
glasses.
glasses.
glasses.
Course
Course
CourseContent:
Content:
Content:
• •• Neurophysiology
Neurophysiology
Neurophysiology
• •• Pharmacology
Pharmacology
Pharmacology
• •• Neuroanatomy
Neuroanatomy
Neuroanatomy
• •• Medical
Medical
Medical
History
History
History
Review
Review
Review
• •• Armamentarium
Armamentarium
Armamentarium
• •• Injection
Injection
Injection
Techniques
Techniques
Techniques
• •• Local
Local
Local
and
and
and
Systemic
Systemic
Systemic
Complications
Complications
Complications
Nitrous
Nitrous
NitrousOxide/Oxygen
Oxide/Oxygen
Oxide/Oxygen
Analgesia
Analgesia
AnalgesiaCourse
Course
Course
toto
tobebe
beoffered
offered
offeredthe
the
theTuesday
Tuesday
Tuesdayimmediately
immediately
immediately
before
before
beforethis
this
thislocal
local
localanesthesia
anesthesia
anesthesia
course.
course.
course.
thth
th
,,2016
2016 9AM-4PM
9AM-4PM
9AM-4PM
December
December
December666, 2016
Price
Price
Price$200
$200
$200
666CEU’s
CEU’s
CEU’s
The
The
Theuse
use
useofof
ofnitrous
nitrous
nitrousoxide
oxide
oxideincluding
including
includingindications
indications
indications
for
for
for
use
use
use
and
and
and
with
with
with
3 3clinical
3clinical
clinical
experiences.
experiences.
experiences.
Local
Local
LocalAnesthesia
Anesthesia
AnesthesiaReview
Review
Reviewfor
for
for
Licensed
Licensed
Licensed
Practitioners
Practitioners
Practitioners
thth
,th2017
,, 2017
2017 9AM-12PM
9AM-12PM
9AM-12PM
February
February
February24
24
24
Price
Price
Price$100
$100
$100
333CEU’s
CEU’s
CEU’s
This
This
This
isisis
a aclinical
a clinical
clinical
course
course
course
only
only
only
and
and
and
isisis
designed
designed
designed
toto
to
review
review
review
allall
all
local
local
local
anesthetic
anesthetic
anesthetic
injections.
injections.
injections.This
This
This
will
will
will
also
also
also
serve
serve
serve
asas
as
a areview
areview
review
for
for
for
students
students
students
who
who
who
are
are
are
taking
taking
taking
the
the
the
WREB
WREB
WREB
local
local
local
anesthesia
anesthesia
anesthesiaexam.
exam.
exam.
Please
Please
Please
bring
bring
bring
two
two
twosyringes.
syringes.
syringes.
Clinical
Clinical
ClinicalContent:
Content:
Content:
• •• Inferior
Inferior
Inferior
alveolar
alveolar
alveolar
block
block
block
• •• Gow
Gow
Gow
Gates
Gates
Gates
• •• Infraorbital
Infraorbital
Infraorbital
• •• Use
Use
Use
ofof
of
computerized
computerized
computerized
anesthetic
anesthetic
anesthetic
device
device
device
• •• Posterior
Posterior
Posterior
Superior
Superior
Superior
Alveolar
Alveolar
Alveolar
SelfStudy
StudyPain
PainControl
ControlMethods
Methods
Self
Self
Study
Pain
Control
Methods
Continuing
Continuing
ContinuingEducation
Education
EducationCourse
Course
CourseNow
Now
Now
Available!
Available!
Available!
After
After
After
sending
sending
sending
inin
in
the
the
the
registration,
registration,
registration,
practitioners
practitioners
practitioners
will
will
will
bebe
be
sent
sent
sent
a aself-study
aself-study
self-study
module
module
module
with
with
with
test
test
test
items.
items.
items.
The
The
The
candidates
candidates
candidates
will
will
will
mail
mail
mail
oror
or
fax
fax
fax
back
back
back
toto
to
UNM
UNM
UNM
the
the
the
answered
answered
answered
test
test
test
items.
items.
items.
Upon
Upon
Upon
satisfactory
satisfactory
satisfactory
completion
completion
completion
ofof
of
the
the
the
self-study
self-study
self-study
course,
course,
course,
UNM
UNM
UNM
will
will
will
mail
mail
mail
certificate
certificate
certificate
ofof
of
course
course
course
completions
completions
completions
toto
to
the
the
the
practitioners.
practitioners.
practitioners.
The
The
The
following
following
following
self-study
self-study
self-study
continuing
continuing
continuing
education
education
education
modules
modules
modules
are
are
are
available
available
available
for
for
for
$50
$50
$50
each.
each.
each.
Course
Course
Course
Instructor
Instructor
Instructor
for
for
for
All
All
All
Courses:
Courses:
Courses:
Demetra
Demetra
Demetra
Professor
Professor
Professor
Emeritus
Emeritus
Emeritus
and
and
and
Logothetis,
Logothetis,
Logothetis,
RDH,
RDH,
RDH,
MS
MS
MS
Graduate
Graduate
Graduate
Program
Program
Program
Director
Director
Director
University
University
University
ofof
of
New
New
New
Mexico
Mexico
Mexico
Division
Division
Division
ofof
of
Dental
Dental
Dental
Hygiene
Hygiene
Hygiene
Demetra
Demetra
Demetra
Logothetis
Logothetis
Logothetis
isisis
author
author
author
of:of:
of:
Local
Local
Local
Dental
Dental
Dental
Anesthesia
Anesthesia
Anesthesia
for
for
for
the
the
the
Practicing
Practicing
Practicing
Hygienist.
Hygienist.
Hygienist.
2nd
2nd
2nd
edition.
edition.
edition.
St.St.
St.
Louis:
Louis:
Louis:
Elsevier,
Elsevier,
Elsevier,
2016
2016
2016
Professor
Professor
Professor
Logothetis
Logothetis
Logothetis
has
has
has
lectured
lectured
lectured
nationwide
nationwide
nationwide
onon
on
pain
pain
pain
control
control
control
modalities
modalities
modalities
and
and
and
teaching
teaching
teaching
strategies
strategies
strategies
for
for
for
pain
pain
pain
control.
control.
control.Her
Her
Her
book
book
book
isisis
focused
focused
focused
onon
on
teaching
teaching
teaching
dental
dental
dental
hygienists
hygienists
hygienists
how
how
how
toto
to
effectively
effectively
effectively
integrate
integrate
integrate
local
local
local
anesthesia
anesthesia
anesthesia
into
into
into
clinical
clinical
clinical
practice.
practice.
practice.
Her
Her
Her
textbook
textbook
textbook
won
won
won
the
the
the
2012
2012
2012
PROSE
PROSE
PROSE
award
award
award
inin
in
the
the
the
category
category
category
ofof
of
Allied
Allied
Allied
Health
Health
Health
Sciences
Sciences
Sciences
and
and
and
Nursing.
Nursing.
Nursing.
Free Parking
All
All
All
courses
courses
courses
are
are
are
held
held
held
atat
at
Novitski
Novitski
Novitski
Hall,
Hall,
Hall,
SE
SE
SE
Corner
Corner
Corner
ofof
of
Tucker
Tucker
Tucker
and
and
and
Yale,
Yale,
Yale,
unless
unless
unless
otherwise
otherwise
otherwise
noted.
noted.
noted.
Participants
Participants
Participants
will
will
will
bebe
be
able
able
able
toto
to
get
get
get
a afree
afree
free
parking
parking
parking
pass
pass
pass
from
from
from
the
the
the
UNM
UNM
UNM
Division
Division
Division
ofof
of
Dental
Dental
Dental
Hygiene
Hygiene
Hygiene
upon
upon
upon
arrival
arrival
arrival

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