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California Dental 25-Hour CE Package FINAL EXAMINATION
Please fill in all information below in CAPITAL LETTERS. Upon completion, please return this sheet, along with pay - ment 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 ⃣Check/Money Order made payable to Elite with the amount due $_____________ ⃣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
The California Dental Practice Act (Mandatory)
2 2
$18.00 $18.00
2 Infection Control for Dental Professionals: The California Requirement (Mandatory) 3 Responsibilities and Requirements of Prescribing Schedule II Opioid Drugs (Mandatory)
2
$18.00
4
Dental Ethics and the Digital Age, 3rd Edition
5 5
$45.00 $45.00
5 Dental Radiation Health, Safety, and Protection, 3rd Edition
6 7
Dental Treatment of Pediatric and Adolescent Patients
6
$54.00
Third Molar Surgery, 5th Edition
3
$27.00
Best Value - Complete all 25 Hours by Mail and Save $75.00
25
$150.00
TOTAL ENCLOSED:
$
.
... Please see the following page for the Final Exam Answer Sheet ►
138
EliteLearning.com/Dental
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