Smiling young girl in wheelchair

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Thank you for registering for the Special Care curriculum. Please enter your information below (estimated time to complete registration is 2 - 5 minutes):

Personal Information: (* denotes required field)
  First Name:*
  Last Name:*
  Degree(s):
  Organization:
  Position/Title:
  E-Mail Address:*
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(between 3 - 15 characters;
  password will be required to log-in)
  Apply for Credits via:*
IHS (for dentists, dental hygienists, and dental assistants)
ADHA (for dental hygienists)

Contact Information:
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  Additional Address:
  City:*
  State:*
  Zip Code:*

Additional Information: (optional)
  How did you find out about the Special Care curriculum?
    
  What specific topics are you hoping to learn about?
    

   

 

If you experience technical difficulties registering or logging-in, please contact us.