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Dental Hygiene

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  Education
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• CE INFO REQUEST

Continuing Education in Dental Hygiene

Continuing Education Information Request Form

To better serve the dental hygiene / dental assistant community, the Department of Dental Hygiene is redesigning its Continuing Education Program. Please help us to focus on what is most important to you by completing the form below.

First Name	Last Name
Address 1
Address 2
City	State	Zip
Home Phone (including Area Code)	Work Phone (including Area Code)	Best time to call?
		Daytime Evening
Email
Continuing Education Areas of Interest:
Clinical Interest
Local Anesthesia Nitrous Oxide Sedation Radiology for Assistants 1 DH Restorative Endorsement Perioscope, New DH Instruments, Ultrasonics Rubber Dam Impressions Topical Anesthetic
Community Oral Health
Diabetes Nutrition Treating AIDS Patients Fluoride
Professional Development
Dental Hygiene Education Rural and Community Health Mental Health & Oral Needs Top Drugs Used & Impact on Practice Oral-Systemic Health Diagnostic Devices for Oral Cancer Screening
Suggestions
Are you a licensed dental hygienist?
Yes No
If so, in what states?
Are you a dental assistant?
Yes No
If so, do you have an Expanded Functions certificate?
Yes No
Please write any specific questions you have here:
Please let us know how you heard about us:
Internet Search ADHA Educational Conference Friend Other

• Idaho State University • 921 South 8th Avenue • Pocatello, Idaho, USA 83209
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