DSDS Events

DELAWARE “AGE ONE CONNECT THE DOTS” WORKSHOP Registration Form

DELAWARE “AGE ONE CONNECT THE DOTS” WORKSHOP

Thursday, January 8, 2015

6:00 PM to 9:00 PM

Sheraton Wilmington South, New Castle, DE

“AGE ONE CONNECT THE DOTS”

Background: The Pennsylvania Age One Connect the Dots pilot project supports the current standard of care in AAPD, ADA, and AAP national recommendations. This workshop educates dental providers to do “Knee-to-Knee” examinations, to understand the importance of the “Age One,” or baby dental visit, to see more young children in their practices, to increase their productivity by accepting referrals from physicians who are advising families to take their child to the dentist by “Age One,” and to bill for preventive services to avoid Early Childhood Caries. This Pilot Project, which is now available in Delaware, is supported by a grant from the Dental Trade Foundation (DTAF).

Workshop Learning Objectives:

Describe the importance of the “Age One” or baby dental visit
List the risk factors for Early Childhood Caries (ECC)
Demonstrate a Knee-to-Knee examination
Describe how the visit, along with anticipatory guidance for parents, is incorporated
into a dental practice.
Describe practical strategies for billing and successful methods to increase productivity when incorporating the baby visit into a dental practice.

Team presentations by General Dentists, Pediatric Dentists and RDH’s with interaction, hands-on demonstrations.

NOTE: Please register one person per form submission. To register multiple people, return to this page and submit a new form for each person.

This form is for paying by credit card only. We cannot accept an online registration for checks. Thank you.

Name:
Title:	(as it should appear on your tag...DR., MR., MRS., MS.)
Employer's Name:	(Staff registrants only)
Office Address:
City:
State:
Zipcode:
Office Phone:
Emergency Phone:
Email:

Registration Confirmation will be sent via Email Only one week prior to the course.

Registration Categories (select one only)

DSDS/ADA Dentist
Non-DSDS/ADA Dentist
Dental Hygienist
Dental Assistant
Office Manager/Staff
Resident
Student
Spouse

REGISTRATION FEE: $0