Course Provider Registration

Company/Organisation
Study Group/DHB
NZDA Branch

PROVIDER DETAILS

Provider Name*


Username*

Password*



Contact Person

First Name*

Last Name*

Position*


Contact Address*

City*

State

Post Code*

Country*

Contact Phone*

Fax

Mobile

email*

Website

http://

COMPANY OVERVIEW

Please provide a brief summary of your company and type of business:

(for study groups please summarise the nature of your group, including names of your study group members)



PROVIDING CPD

What methods do you plan to use for the provision of continuing professional development activities:



TOPICS FOR CONTINUING PROFESSIONAL DEVELOPMENT

What sorts of topics will be your main focus for the provision of continuing professional development activities:

Branch Meetings
Cariology
Community Dentistry
Dental Education
Dental Hygienist Courses
Dental Implants
Dental Materials
Dental Sciences
Dental Technology
Endodontics
Forensic Dentistry
General Dentistry
Gerodontology
Hospital Department Program
Infection Control
Laser Dentistry
Medical Emergencies
Micro Dentistry
Occlusion & TMJ
Oral & General Health
Oral Medicine
Oral Medicine & Pathology
Oral Surgery
Oral Surgery & Medicine
Orthodontics
Orthodontics/Orthognathic Surgery
Ozone Treatment
Paedodontics
Pain Control & Diagnostics
Patient Management
Periodontics
Periodontics/Restorative Dentistry
Pharmacology
Practice Management
Preventative Dentistry
Prosthodontics
Public Health Dentistry
Radiography
Restorative Dentistry
Sedation
Special Needs
Surgery Equipment & Supplies
Other

TERMS AND CONDITIONS

Please read carefully the Terms and Conditions for becoming a course provider through NZDA. Terms and Conditions must be agreed to before your application can be submitted to NZDA.


I/we hereby agree to the Terms and Conditions for becoming a course provider through NZDA