Occlusal Diagnosis CE Verification

Please use the form below to confirm the information you would like to have appear on your Course Attendance Verification form.

Upon completion of the Occlusal Diagnosis: Identifying Risk online seminar series and post-course quiz, you will receive 6.0 hours of continuing education credit. If you are a member of the Academy of General Dentistry (AGD) and provide your AGD membership number, we will submit your attendance verification to the AGD on your behalf within 30 days of completion.
Name*
You name and title will appear on the verification form exactly how you enter it here.
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AGD ID#:
Academy of General Dentistry membership number (optional)
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If licensed in multiple jurisdictions, please indicate in the Notes below.
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How would you like to receive your Course Attendance Verification form?*
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- via Postal Mail
Address*
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