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Remote Supervision Continuing Education Online Course

  • Monday, May 07, 2018
  • Wednesday, December 31, 2025

Registration

Register

A friendly reminder of an exciting CE event!

Remote Supervision Continuing Education Online Course
Statement of Completion and Participant Information

Click on the Register button to complete the Statement of Completion and Participation Information form.

Note: Please enter your name as it is printed on your License to Practice as a Dental Hygienist.

You will be asked to provide the following information when completing the form:
  • Name (as printed on your License to Practice as a Dental Hygienist)
  • Full Address
  • Cell Phone Number
  • Email Address (a separate verification of your email is asked as well.)
  • Virginia Dental Hygienist License Number
  • Status of ADHA Membership (and if member your ADHA Membership Number)
  • Component Number
  • Date of Completion of Online Course

PLEASE COMPLETE ALL REQUIRED FIELDS. Upon completion of this form it will be sent to the Education Committee for processing. 

Please allow 14 days for processing your CE certificate!



The Virginia Dental Hygienists' Association  is a 501(c)6 non-profit organization located at 140B Purcellville Gateway Drive, Suite 120, Purcellville, VA 20132. 540-495-0950. Contact VDHA

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