Introduction to Practice Accreditation Presented by Sharon McMillan Program Outline 2.30pm - 3.30pm
This workshop will assist ADA member practices considering registering for accreditation. The accreditation standards will be discussed in regard to office-based dentistry.
Short break for Afternoon Tea
DATE: Wednesday 12 September 2018 TIME: 2.30pm - 3.30pm CPD: 1 non-clinical hour VENUE: Bairnsdale International 355 Main Street Bairnsdale, Victoria FEE: ADA Member $55 Practice Staff $55 Non-member $75 Includes: Afternoon Tea
Practices already registered for accreditation with QIP may prefer to attend an individual practice accreditation workshop for A1 cycle of accrediation, re-accreditation or mid-cycle review. Please contact Ann Lane on (03) 8825 4600 or practice.plus@adavb.org to book in for a one hour session on the same day 12/9/18 (same fees as above apply).
Sharon McMillan, Practice Plus Consultant Sharon is a former Economics and Business Management Teacher and has a Masters of Education Degree in Curriculum Development and a Diploma of Quality Auditing. She has worked as a Practice Manager for the past eighteen years in an Oral and Maxillofacial Surgery Practice based on the Mornington Peninsula, where she is responsible for establishing the administrative processes and for monitoring its growth and development. Sharon has assisted many ADAVB member practices become accredited and regularly presents to members at workshops and dental group meetings.
Making Practice Management Easier
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 PRINCIPAL DENTIST ADA member Dentist
Please tick this box if Principal Dentist is not attending
Member Number Practice Staff
Practice Plus Subscriber
Non-Member
Other
Name
Surname
Work Phone
Mobile
Dietary
(Important: Your confirmation and reminder will be sent to this email)
REGISTRANT 1 ADA member Dentist
Member Number Practice Staff
Practice Plus Subscriber
Non-Member
Other
Name
Surname
Work Phone
Mobile
Dietary
(Important: Your confirmation and reminder will be sent to this email)
REGISTRANT 2 ADA member Dentist
Member Number Practice Staff
Practice Plus Subscriber
Non-Member
Other
Name
Surname
Work Phone
Mobile
Dietary
(Important: Your confirmation and reminder will be sent to this email)
If there are additional registrants please provide a seperate A4 sheet with their details and dietary requirements.
PLEASE ENROLL ME IN Course Name
Course Date
Member
Staff of Member
Non-Member
TOTAL:
Infection Control in Office Based Dentistry Wed 12/9/18 $ (Bairnsdale) 9.30am - 2.30pm
$
$
$
Introduction to Practice Accreditation (Bairnsdale) 2.30pm - 3.30pm
$
$
$
Wed 12/9/18
$
TOTAL (inc GST) $
PAYMENT DETAILS CHEQUE (made payable to ADAVB Inc)
CARD
MasterCard
Visa
American Express
Card Number
Expiry Date
/
Cardholder Name Date
/
/
Signature
HOW TO ENROL Telephone registrations are not accepted FAX: 03 8825 4644 • EMAIL: practiceplus@adavb.org • ONLINE: www.adavb.net • MAIL: ADAVB, PO Box 9015, South Yarra, VIC 3141 This is a TAX INVOICE for GST upon payment. All rates are GST inclusive. 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: practiceplus@adavb.org • www.adavb.net
PLEASE NOTE: Your registration for these events indicates acceptance of ADAVB’s Terms and Conditions and Cancellation Policy. Make a copy of this registration form and maintain it for your records.