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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 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 ⃣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
$18.00
2 Infection Control for Dental Professionals: The California Requirement (Mandatory) 3 Caries-Prone Patients: Prevention, Assessment, and Intervention
2
$18.00
4
$36.00
4
Healthcare-Associated Infections
15
$135.00
5 Responsibilities and Requirements of Prescribing Schedule II Opioid Drugs (Mandatory)
2
$18.00
Best Value - Save $75.00 - All 25 Hours
25
$150.00
TOTAL ENCLOSED:
$
.
... Please see the following page for the Final Exam Answer Sheet ►
140
EliteLearning.com/Dental
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