Middlesex County Dental Society

OSHA

Certification Course

Blood Borne Pathogens - Universal Precautions

Thursday - June 22, 2000

Time: Registration: 6:30 pm Program 7 — 9 pm

Place: St. Peters Medical Center, New Brunswick, NJ

Cost : Members $10 Non-Members $50

Contact: Dr. Ethan Glickman Chairman: Mentor Program

Committee members: Dr.Greg Livanos & Dr. Raj Lall

** Prior registration necessary **

Reserve early -- Mail Registration (See below)

Approved for 2 CEU credits with NJ State Board of Dentistry and AGD

This program will satisfy the OSHA standard on Occupational Exposure to Bloodborne Pathogens, which requires staff and Dentists to be instructed annually and tested to verify their training. Each office person trained will receive certification that they have been properly instructed for this OSHA regulation on Infection Control.

The instructor for this educational seminar is Joyce Koenig, RNC, APIC

REGISTRATION FORM

Tuition:

Middlesex County Dental Society members $10 @ #______ = $ ________

And all NJDA members

MCDS and all NJDA Dental member STAFF

Non-member Dentists $50 @ # ______ = $ ________

Non-member Staff

Total Enclosed = $ _________

Please REGISTER by June 8, 2000

make CHECKS payable to:

MIDDLESEX COUNTY DENTAL SOCIETY

QUESTIONS Call Marlene Glickman

c/o Dr Ethan Glickman (732)-346-0480

Office Name .....................................................................

Office Address .....................................................................

Office phone # ............................................... Office FAX # ...........................................

Name (Dentists & Staff attending) Title License # ADA #

__________________________________________________________________________________________

Mail and Return to:

MIDDLESEX COUNTY DENTAL SOCIETY

P.O. Box 7026

East Brunswick NJ 08816

MCDS OFFICE: (732) 346-0480 MCDS FAX: (732) 390-2332