4 May 2016

NETWORK Date: Time: Venue:

Wednesday 4 May 2016 5:00pm ‐ 7:00pm ADAVB Mee ng Rooms Level 3, 10 Yarra Street, South Yarra

The Prac ce Plus Network was developed to provide addi onal support to ADAVB members by establishing a network for their staff to assist with upda ng their skills and knowledge

Any Prac ce Manager, Administrator, Dental Assistant or Recep onist working with an ADAVB member may a end Prac ce Plus Network Mee ngs, held quarterly.

Medical Emergencies for Prac ce Managers and staff A hands on CPR workshop for dental prac ce managers and staff.

 Iden fy and respond to medical emergencies in the dental surgery



Lead the prac ce team in providing effec ve treatment



What to consider for your surgery



2 hour CPR cer ficate to be awarded on comple on of session.

Includes a short introducƟon from Teresa Davine, PracƟce Plus Consultant, and light refreshments.

Limit of 25 aƩendees

Presenter Mr Shane Hawkinson is from Nebraska via Oklahoma and the United States Navy before becoming a specialist educator in advanced resuscita on and pre‐ hospital ambulance care and the Victorian Training Manager for Cynergex Group.

Shane trained as a United States Naval Corpsman and worked as a nurse within the US Navy’s hospitals and as an ambulance officer at major US Naval bases in the US and Japan. He also served as a front line medic for the US Marine Corps in Iraq and the Pacific.

Following his discharge from the US Navy arrived in Tasmania where he completed a degree in Marine Technology Management. Once in Melbourne, Shane worked within the Ambulance industry in a number of front line and support roles prior to recruitment by Cynergex Group as an ambulance and advanced life support instructor.

Confiden ality and intellectual property All training materials and templates provided by ADAVB Prac ce Plus to the ADAVB Member/s and their staff under this Services Agreement remain Commercial in Confidence. ADAVB Prac ce Plus retains copyright in all materials developed and supplied to the ADAVB Member/s and their staff under this Services Agreement. ADAVB Prac ce Plus gives the ADAVB Member/s and their staff a non‐exclusive, non‐transferrable, royalty‐free licence (which may not be sub‐licenced) to use the copyright in those materials only in respect of the prac ce loca on(s) specified below and for no other purpose. Breach of our copyright will be viewed seriously.

Event

Date

Prac ce Plus Wednesday 4 May Network Mee ng 5:00pm ‐ 7:00pm

Prac ce Plus Subscriber

Prac ce Staff

ADAVB Member

Total

FREE

$50

$50

REGISTRATION DETAILS ‐ PRACTICE STAFF Name ______________________________________________________ Prac ce Manager/ Dental Assistant / Recep onist (please circle) Email _______________________________________________ Special dietary requirements (if any) _____________________________ (Imp o rta nt: Plea se pro vi de to receive reminders)

Name ______________________________________________________ Prac ce Manager/ Dental Assistant / Recep onist (please circle) Email _______________________________________________ Special dietary requirements (if any) _____________________________ (Imp o rta nt: Plea se pro vi de to receive reminders)

ADAVB MEMBER DETAILS Title _______ Name _____________________________________________________ ADAVB Membership No ________________ Address _________________________________________________________________________ Postcode ________________ Phone ______________________________ Fax ____________________________ Mobile ______________________________

PAYMENT l__l Cheque (payable to ADAVB Inc) l __l MasterCard l__l Visa l__l American Express (Diners Club Not Accepted)

Card Number l__l__l__l__l l__l__l__l__l l__l__l__l__l l__l__l__l__l Expiry Date l__l__l / l__l__l I hereby authorise ADAVB to debit my credit card. Amount $ ________________________________

By providing registra on details and payment, I declare that I have read and understood all the terms and condi ons below.

Signature ______________________________________________________________ Date __________________________

This do c ument will be a TA X IN VOICE fo r GST upo n pa yment. All rates are GST i ncl usi ve.

Aust ralian Dent al Associa on Vi ct ori an Branch I n c. Level 3, 10 Yarra Street (PO Box 9015), South Yarra, VI C, 3141.

Tel (03) 8825 4600 Fax (03) 8825 4644 ask@adavb. org www.a da vb.net ABN 80 263 088 594 ARBN 152 948 680 Regi st ered Assoc No. A0022649E

REGISTRATIONS Registra ons must be received 3 working days before the event.

Registra ons received a er this will incur an addi onal $25 administra on fee.

Registra ons must be accompanied by full payment, which can be made via mail or fax with credit card details, or cheque to ADAVB, P.O Box 9015, South Yarra, VIC 3141.

Phone registra ons and payments will not be accepted.

Reminders are sent electronically – you must provide your email address on your registra on form to receive reminders.

Contact the ADAVB if confirma on of your enrolment is not received 14 working days a er the ini al applica on.

CANCELLATIONS AND REFUNDS All cancella ons must be made in wri ng to the ADAVB. Cancella ons received up to one week prior to the event date will be refunded, less a $50 per person handling fee.

No refunds will be issued for cancella ons made less than 7 days prior to the event, except under special circumstances. However, a subs tute delegate may be nominated and the ADAVB must be informed of the subs tute’s details.

CATERING While ADAVB tries to accommodate specific dietary needs, it cannot guarantee that the requests can be met. Kosher & Halal delegates will be catered for only if requested on this registra on form.

Upcoming Prac ce Plus Network Mee ngs:

Dental Marke ng Secrets for Prac ce Managers Wednesday 5 August 2016, 2.00pm ‐ 5.00pm

For registra on forms and the full 2016 Prac ce Plus Events Calendar visit prac ceplus.adavb.org

GETTING THERE AND PARKING FACILITIES Parking facili es and public transport details will be outlined on your event reminder.

DISCLAIMER & PRIVACY STATEMENT Use of any informa on from CPD programs is the sole responsibility of the individual prac oner.

Approval of an ac vity for CPD purposes does not imply that the Dental Board of Australia endorses the ac vity or agrees with the opinions of the presenter.

The full ADAVB disclaimer and privacy statement can be viewed on our website www.adavb.net Please refer to the ADAVB website www.adavb.net for full terms and condi ons.