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VERIFICATION OF CONTINUING EDUCATION PARTICIPATION Southern Association of Orthodontists Annual Meeting October 1-3, 2015 ** The SAO is an ADA CERP Recognized Provider Orlando World Center Marriott Dr. Name: ______________________________________________________ Staff Name:____________________________________________________ Address:________________________________________________________ City/ State/ Zip:_______________________________________________ ADA CERP is a service of the ADA to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Doctors-17 CE credits available Staff-16 CE credits available Thursday, October 1 If attending courses held simultaneously, please indicate time in each course. Please return 1 form per person to the SAO office. Duplicate as needed. Hours Speaker & Course Title 12:00 PM – 1:00 PM Faculty Lecture- Dr. Daniel Levy-Bercowski: Orthodontic Care for Patients with Cleft Lip & Palate 12:00 PM – 1:00 PM Partners’ Panel-3M, ORMCO, OrthoBanc, Invisalign iTero 1:00 pm - 5:00 pm Dr William Proffit: An Evidence-Based Overview of Current Therapy for Skeletal Problems 1:00 PM - 4:00 PM 1:00 PM – 2:30 PM 2:30 PM - 4:00 PM 1.0 1.0 Dr Bruce Christopher: Bambi vs. Godzilla-How to Deal with Difficult people Dr Thomas Shipley: Accelerated Orthodontics with Simple Osteoperforations to Enhance the Rate of Physiologic Tooth Movement Dr Robert Miller: Clinical Use of a Diode Laser in an Orthodontic Practice 4.0 3.0 1.5 1.5 1:00 PM – 2:30 PM Dr Tim Trulove: The Special-Needs Patient: Treating Patients with Autism in an Orthodontic Setting 1.5 2:30 PM - 4:00 PM Dr Anthony Puntillo: Digital Orthodontics - Tooth Alignment in Cyber Space 1.5 Friday, October 2 8:00 -10:00 AM Mr Steve McEvoy:Interesting New Computer Technologies for your Practice 8:00 - 11:00 AM Dr Henry Fields: New Thinking for Old Problems 8:00 - 11:00 AM Dr Bruce Christopher: Why are Women So Strange & Men So Weird? Communicating Effectively with the Opposite Sex 8:00 - 11:00 AM 8:00 - 11:00 AM 1:00 – 4:00 PM 1:00 – 4:00 PM 1:00 – 4:00 PM 1:00 – 4:00 PM 1:00 – 3:00 PM 2.0 3.0 3.0 Dr William Scarfe: Advanced Concepts in CBCT Image Interpretation for Orthodontics Dr Roger Levin: Creating the $2 Million Orthodontic Practice-The New Rules for Increasing Orthodontic Production Drs Peter Ngan & Tim Tremont: What's New in Class III Treatment Dr Bruce Christopher: Are We Having Fun Yet? Human & Peak Performance Dr Roger Levin: Increasing Orthodontic Production 25% in the Next Three Years;Powerful Ortho Marketing in the New Dental Economy Drs Olmsted, Williams & DeLeon: Starting Your Own Practice, Maintaining the Standard of Care in Practice, Managing Your Life Style Dr Greg Jorgensen: Social Media & Reputation Management for Orthodontists 3.0 3.0 3.0 3.0 3.0 3.0 2.0 Saturday, October 3 8:00-11:00/1:00-4:00 PM Dr Clark Colville: Clear Aligners: The Five Keys to Obtaining Excellent Results 8:00-11:00/1:00-4:00 PM Ms Charlene White: Team Power / Charlene's Secrets to Increasing Your Case Acceptance in Tough Economic Times 8:00 - 11:00 AM Dr Bill Crutchfield: Building a Dynamic Digital Orthodontic Team 8:00-11:00/ 1:00-4:00 PM 1:00 - 4:00 PM Dr Jay Bowman: A Spike in the Ice: Don't be Afraid, I've Done this Before.....Got TAD Fatigue?/Rapid Transit Treatment: Life in the Fast Lane of Orthodontic Advancements Dr Lisa Alvetro: Forsus Class II Corrector: More Than a NonCompliance Appliance 3.0/ 3.0 3.0/ 3.0 3.0 3.0/ 3.0 3.0 Total Hours Doctor Staff PARTICIPANTS: Continuing education credits issued for participation in the CE activity may not apply toward license renewal in all licensing jurisdictions. It is the responsibility of each participant to verify the CE requirements of his/her licensing or regulatory agency. Complete this form or use your state form and return to the SAO for signature. Retain a copy for your records. Mail to: SAO, 32 Lenox Pointe, Atlanta, GA 30324-3169 or Email to [email protected] CTI We will email a signed copy to you.. Email address: ___________________________________________________ By the signatures affixed below, we certify attendance at the dental education program ve.____________________________________________________ Signature of Attendee Attesting Participation e:_ ______________________________________________________ Certified by Ms Heather Hunt Executive Director, Southern Association of Orthodontists