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Central ILAGD Presents: Implants by Dr. Bill Cusask

June 15, 2018 @ 8:00 am - June 16, 2018 @ 5:00 pm

SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF DENTAL MEDICINE
&
THE CENTRAL ILLINOIS ACADEMY OF GENERAL DENTISTRY
Presents:

Implants

by Dr. bill Cusack

Course:

 

Speaker Bio:

 

Course Objectives:

 

CE Credits:

CE CREDITS:
(towards AGD Fellowship or Mastership)
8 hours of Implant or Removable Prosthetics lecture credit for those who attend the
6/15/18 lecture only; 16 hours of Implant or Removable Prosthetics participation credit
for those who attend 6/15/18 lecture and 6/16/18 hands-on. (36 hours for those who
complete an in-office protocol
assignment and report).
Email: [email protected] for information

When & Where:

Southern Illinois University School of Dental Medicine

Hoag Hall Auditorium, Bldg. 283

2800 College Avenue

Alton, IL

Directions: Take I-55 North or South to the Alton exit #30, Route 140. (Route 140 becomes College Avenue)

PARKING: Available behind Hoag Hall, Lots A-3. No permit is necessary. Do not park in the clinic parking lot. You will be ticketed.

Hotel Reservations:

Hotel Reservations based on availability.  Identify
yourself as attending the Southern Illinois University
School of Dental Medicine AGD Programs.
Atrium Hotel (formerly the Holiday Inn)
3800 Homer Adams Parkway
Alton, Illinois
(618) 462-1220
Directions: Take 55 North or South to the Alton
Exit #30, Route 140. (140 becomes College Avenue)

Course Schedule:

Southern Illinois University School of Dental Medicine
FRIDAY, June 15, 2018
7:45 am Registration
8:00 am – 10:30 am Lecture in Hoag
Hall Auditorium (Bldg. 283)
10:30 am – 10:45 am Break and Discuss
12:00 pm – 1:00 pm Lunch and Learn with
the students
1:00 pm – 3:00 pm Lecture in Hoag Hall
Auditorium (Bldg. 283)
3:00 pm – 3:15 pm Break and Discuss
3:15 pm – 5:00 pm Lecture in Hoag Hall
Auditorium (Bldg. 283)
5:00 pm – 6:00 pm Set-up for Hands-on
7:30 pm – Dinner with seminar attendees &
instructor
SATURDAY, June 16, 2018
7:45 am Registration
8:00 am – 12:00 pm Hands-on in Student
Lab (Bldg. 283)
12:00 pm – 12:30 pm Lunch & Discuss
12:30 pm – 4:30 pm Hands-on in Student
Lab (Bldg. 28

 

DEADLINE:

June 8, 2018
May register for lecture only. 6/15/18 hands-on
participation Limited space


 

Protocol Reporting Session
Thursday, June 14,2018, at 7:30 PM
at the Atrium Hotel (formerly the Holiday Inn)
Restaurant Alton, IL
Call 309-692-1796 or Email
[email protected]
for reservations.


SEMINAR COSTS                                                   AGD/ADA                          NON-AGD/ADA
PUBLIC HEALTH
Dentist 2 day participation course                        $695                                                   $795
(limit 25 participants)
Dentist 6/15/18 lecture only                             $275                                                   $325
Staff (non-dentist) per day                                    $50                                                     $75
(must be accompanied by dentist)
SIU Instructors/Students 6/15/18 lecture             N/C                                                    $10*
only and 6/16/18 observation only.
Must be registered for seminar.
(Observation will be permitted at participation course (includes faculty/students) if course limit is reached, but costs and attendee numbers must be approved by the course master.)

Lunch is included in all day seminar cost.
*Includes 1 year AGD student membership
Non-Members: Join AGD and receive seminar at AGD member cost.
Contact Dr. Susan Bishop for information.

Refunds are available for courses, minus $50 processing fee, will be granted if requested at least ten days prior to the start of the course.

REGISTRATION FORM

Check appropriate line, or list number attending:

___AGD/ADA/Public Health Dentist                              $ _________

___Staff Member/AGD/ADA Dentist                              $ _________

___Non-AGD/ADA Dentist                                              $ _________

___Staff Member/Non-AGD/ADA Dentist                   $ _________

___SIU/SDM Student/Resident                                        $ _________

___SIU/SDM Faculty                                                          $ _________

TOTAL  $ _________

AGD/ADA No. _________________________________________

Total Number Attending __________________________________

Amount Enclosed _______________________________________

Check Number _________________________________________

(Make check payable to the Central Illinois AGD)

Name: ________________________________________________

Address: ______________________________________________

City, State, Zip _________________________________________

Business Phone: ________________________________________

Home Phone: __________________________________________

Fax/E-mail Address: ____________________________________

___In Office Protocol

___Please send me a new AGD member packet.

If more than one person is attending, please list their names on a separate sheet of paper.

Return by June 8 ,2018.

PAYMENT

Return the completed registration form and check payable to CIAGD to:

Dr. Susan Bishop

7314 N. Edgewild Dr.

Peoria, IL 61614

Email: [email protected] for information.


Implant Assisted Removable Brochure


Next CIAGD/SIUSDM Seminar:

For more IL AGD CE Courses please go to ILAGD.org


Details

Start:
June 15, 2018 @ 8:00 am
End:
June 16, 2018 @ 5:00 pm
Event Category:

Organizer

Dr. Susan Bishop
Phone:
309-692-1796
Email:
sbishop@peoriacounty.org

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