Business Of Dentistry Course WaitlistDecember 11, 2023 Published by bossmarketing on December 8, 2023 Welcome to your E-school LIVE 1:1 Application Name Practice Name Email Facebook Profile Link (optional) Instagram Profile Handle (optional) LinkedIn Profile Link (optional) Have you enrolled in E-School? Yes, E-School with Coaching Yes, E-School Independent No None If you have enrolled in E-School with Coaching, have you completed the curriculum? Yes Not Yet None Where are you licensed to practice? (State/Province, and/or Country) Malpractice Insurance: Participants in E-School LIVE 1:1 must provide proof of valid malpractice insurance coverage that covers this exposure in the United States upon registration for the program. (Please note, we have had several Canadian dentists who were able to arrange coverage with their insurance carrier for this program!) Dental residency insurance is insufficient to qualify for E-School LIVE 1:1, as it typically only offers coverage for treatments offered through the program or hospital where you are a resident. IMPORTANT: You must be able to send proof of insurance to my team before your registration can be finalized. By completing and submitting this application form you confirm that you have read and agree to the following:I understand that I must have valid malpractice insurance to register for E-School LIVE 1:1 and that if it ends for any reason, I will not be able to participate in the program. I also understand that the registration fee is NON-REFUNDABLE, and if I register and am disqualified from participating for any reason I will forfeit my payment. None Do you understand that you need to have malpractice insurance in order to attend E-School LIVE 1:1? Yes, I understand, and this isn't an issue. Yes, I understand, but this is a barrier for me. None Dental Assistant: Participants in E-School LIVE 1:1 are highly encouraged to bring their own trained dental assistant to the training. While it is not required, you will have the best results when you have someone committed to your practice to help you implement everything you learned once you get back to the op! We want you to become an endo dream team, and they may attend for no additional fee! If you do not have an assistant you would like to bring, my team will be happy to assist you during the event. If you do choose to bring your own dental assistant, ideally it will be someone works with you in your practice, so they can benefit from the training and help you implement when you return to your own practice. The assistant you bring to the LIVE 1:1 training must be able to suction and take an X-ray. You will be treating live patients, and WE CANNOT ALLOW UNTRAINED ASSISTANTS to participate in treating these patients because this will result in a stressful experience for you—there will be tears. (Please Note: You may not bring a friend or family member who is not a trained dental assistant.) None Do you plan to bring your own dental assistant with you for E-School LIVE 1:1? Yes, I understand the requirements, and I will be bringing my own assistant No, I would like to work with one of Dr. Chopra's assistants None Why are you interested in E-School LIVE 1:1? Click any that apply. Please let me know why you are interested in 1:1 so I can tailor it to your goals I want more practice with root canals. I want you to show me how to do root canals. I have questions about the curriculum, and I want more mentorship. I am looking for more CE. I want my dental assistant to get more training. Other: add to comment field below 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.
