GET YOUR CE CREDITS
In order to receive your CE CREDITS you must attend the course and complete this form. Please enter the START and END code for each course to prove that you have completed the course.
YOU WILL NEED TO DO THIS FOR EACH COURSE!
PLEASE COMPLETE THE ENTIRE FORM.
ONLY FILL IN THE AGD NUMBER IF YOU ARE A DENTIST AND MEMBER OF THE ACADEMY OF GENERAL DENTISTRY.
(DENTISTS ONLY: Fill in your AGD # if applicable)