Relative Analgesisa Workshop

Relative Analgesisa Workshop
The objective of the course is to enable participants to become
proficient and confident in the administration of nitrous oxide in clinical
practice. This course is approved by the Australian Society of Dental
Anaesthesiology and provides an efficient introduction to dental
relative analgesia. The course is also an excellent refresher for
dentists wishing to update their theory and practical skills in the
delivery of relative analgesia. Participants will be given the opportunity
to administer nitrous oxide-oxygen sedation to each other, and to
experience themselves the effects of the gases in a safe environment.
DATES
Friday 28 November
2014
TIME
8:15 am - 5:00 pm
VENUE
ADAVB Meeting Rooms
Level 3, 10 Yarra Street
South Yarra
PRESENTERS
Dr Michael Walker
Dr Angelo Preketes
Presenter
Dr Michael Pitt Walker BDS, FPFA
Dr Walker is a Conscious Sedation Practitioner endorsed by the
Dental Board, Past President of ASDA and Senior Clinical Associate,
External Examiner to the Diploma in Conscious Sedation University of
Sydney. Dr Walker runs one of the largest sedation practices in the
Sydney region, where nitrous oxide sedation forms an integral part of
his practice used on a daily basis.
Dr Angelo G Preketes BDS(Syd)
Dr Preketes is the Secretary for ASDA and sits in the Dental Practice
Committee for the ADA , And is currently teaching the University of
Sydney Bachelor of Dentistry students in managing medical
emergencies at westmead hospital . Dr Preketes is in private practice
focusing on providing pain management techniques to deal with
phobic , anxious patients as well as implant and general dentistry .
CPD
6.5 Hours
FORAMT
Workshop
ADAVB Member
Limited to 25
RSVP by
Monday 6
October
Full calendar is available on www.adavb.net For more information about any of the CPD activities
please contact the ADAVB on (03) 8825 4600
Disclaimer: ADAVB is not responsible for changes to course details made after going to print.
FEES
$990
REGISTRATION FORM / TAX INVOICE
ABN 80 263 088 594
ARBN 152 948 680
Red’d Assoc No. A0022649E
PLEASE USE BLOCK LETTERS WHEN FILLING IN YOUR DETAILS
PRIMARY REGISTRANT
o I am a member of my ADA state branch.
o Dentist o Hygienist o Retired/Student Member o Dental Assistant o Other
MEMBER NUMBER
HOW TO ENROL
Telephone registrations
are not accepted
Given Name
(Dr/Mr/Ms/Mrs)
Family Name
FAX
03 8825 4644
Mailing Address
State: P/Code:
EMAIL
[email protected]
Work Phone
Fax
Mobile
ONLINE
www.adavb.net
Email
MAIL
ADAVB
(IMPORTANT: YOUR CONFIRMATION AND REMINDER WILL BE SENT TO THIS EMAIL)
PO Box 9015
South Yarra, VIC 3141
For further Information,
please call (03) 8825 4600
Special Dietary Requirements
ACCOMPANYING STAFF DETAILS
Given Name
PLEASE NOTE
Your registration for these events
indicates acceptance of ADAVB’s
Terms and Conditions and
Cancellation Policy
(Dr/Mr/Ms/Mrs)
Family Name
Mobile
Email
Make a copy of this registration
form and maintain it for your
records.
Special Dietary Requirements
Dental Assistant
Practice Staff
(if required please include additional staff members
on a separate piece of paper attached to this form)
PLEASE ENROL ME IN
Course Name
Course Date
Course Fee
Accompanying
Staff Fee
Total Fee
.
/
/
$
$
$
.
/
/
$
$
$
.
/
/
$
$
$
.
/
/
$
$
$
.
/
/
$
$
$
This is a TAX INVOICE
for GST upon payment.
All rates are GST inclusive.
TOTAL (inc GST) $
PAYMENT DETAILS
Cheque (made payable to ADAVB Inc)
Credit Card
MasterCard
Visa
American Express (DINERS CLUB NOT ACCEPTED)
Card Number
Expiry Date
/
Cardholder Name
Signature:
Date:
/
/
Australian Dental Association
Victorian Branch Inc.
Level 3, 10 Yarra Street
(PO Box 9015), South Yarra
Victoria 3141
Tel 03 8825 4600
Fax 03 8825 4644
[email protected]
www.adavb.net