Old E-School Live Patient Application/Referral FormAugust 23, 2024 Published by bossmarketing on February 2, 2026 Welcome to your E-School Observation Registration Full Name Email Practice / School / Organization Name Country of Practice Current Role (Select that apply) Dental Student General Dentist Specialist Practice Owner Assosciate Other Other Role (If selected Other) What best describes why you’re interested in observing Dr. Chopra? (Select all that apply) I’m considering endodontics and want to see what it’s really like I want to observe an efficient, modern endodontic practice I want to improve my clinical decision-making and diagnosis I’m interested in business, systems, or leadership efficiencies I want clarity on whether E-School or another program is right for me Which angle are you most interested in observing? Clinical Business / Leadership A blend of both Not sure yet Have you participated in any of Dr. Chopra’s programs before? No Free training / webinar E-School Independent E-School with Coaching E-School LIVE / LIVE Hands-On / LIVE 1:1 Is there anything that currently prevents you from participating in hands-on or live-patient courses? (Optional – helps us guide you appropriately) Travel limitations Malpractice restrictions Budget considerations Schedule constraints None Prefer not to say If accepted, which days would you generally be able to attend? (Choose all that apply) Mondays Tuesdays In your own words: Why do you want to observe Dr. Chopra’s practice? Please confirm the following: I understand this is observation only (no assisting, no patient care) Please confirm the following: I understand this experience takes place on a Monday or Tuesday only Please confirm the following: I understand travel and lodging are not included Please confirm the following: I understand this experience is not a replacement for E-School Time's up Share bossmarketing Leave a ReplyYour email address will not be published. Required fields are marked *Comment * Name Email Website Save my name, email, and website in this browser for the next time I comment.
