Name: Posterior Success, Mastering Onlays & Multiples
Start: 2019-05-04T00:00:00+00:00
End: 2019-05-05T23:59:59+00:00

Name*
First Last
Email*
Course Name:*
Course Date*
Doctor Name
Practice Name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Office Phone*
Cell Phone
Payment Method:
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Do you have:
- Cart System
- Laptop System
How long have you had the system?*
Have you used any other digital impressioning systems/CAD CAM systems?
- Yes
- No
What CAD CAM courses have you taken?*
What percentage of the time are you scanning :
Same Day- Same Visit- Next Day/Week-
What percentage are you scanning intra-orally, impressions, models?
Are you presently sending cases to a lab using DDX?
- Yes
- No
If yes what lab are you using?
What is your total appointment time for a single unit Emax restoration done same day?
List what percentage of the following you are currently doing in office utilizing CAD CAM:
Crowns Inlays Onlays Veneers Implant Crowns Bridges
What materials are you currently milling?
What retraction, tissue maintenance, and isolation are you currently using?
What are you currently using to seat your restorations?
What are your primary struggles?
What do you hope to gain from Heather’s visit?
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Signature*
Date*

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