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California Dentist 25-Hour CE Package FINAL EXAMINATION
Please fill in all information below in CAPITAL LETTERS. Upon completion, please return this sheet, along with payment and mail to the address above. If paying by check or money order, please make payable to Elite . For even faster service, we offer the test online with
instant grading and certificate issuance. Please visit EliteLearning.com/Book to complete your test online. Please PRINT NEATLY in CAPITAL LETTERS in the areas below using black or blue pen only:
FIRST NAME
MI
LAST NAME
MAILING ADDRESS
SUITE/APT #
CITY (do not abbreviate)
STATE
ZIP CODE
AREA CODE + TELEPHONE NUMBER
DENTIST LICENSE NUMBER
-
-
D N - E-mail (Include to receive processing confirmation and instant certificate access)
PAYMENT METHOD q Check/Money Order made payable to Elite with the amount due $_____________ q Visa/Mastercard/American Express/Discover Credit Card Number
Card Expiration Date / Signature _______________________________________________
Course Payment: You may complete the individual courses for the price listed below. COURSE
CE HOURS PAYMENT
1 California Dental Practice Act, 7th Edition (Mandatory)
2
$19.95
2 Infection Control Standards for California Dental Health Care Workers, 6th Edition (Mandatory)
2
$19.95
3 Prescribing Controlled Substances Safely: A DEA Requirement 4 Common Complications Associated with Oral Surgery 5 Herbal-Drug Interactions Important in Dentistry, 3rd edition
8
$79.95
1
$9.95
2
$19.95
6
HPV & Oral Cancer: Exploring the Link
4
$39.95
7 Medication-Related Damage to Soft and Hard Dental Structures 8 Dental Management for Pediatric Patients with Complex Needs, 3rd Edition
2
$19.95
4
$39.95
Best Value - Save $99.65 - All 25 Hours
25
$150.00
TOTAL ENCLOSED:
$
.
... Please see the following page for the Final Exam Answer Sheet ►
FOR INTERNAL USE ONLY - PLEASE DO NOT MARK IN THIS AREA
Course 1 DCA02DP24
Course 2 DCA02IC23
Course 3 DCA08DR
Course 4 DCA01CC
Course 5 DCA02HD
Course 6 DCA04HP
Course 7 DCA02DS
Course 8 DCA04DM
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