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CE Attendance & Evaluation

Please complete this form to confirm your course attendance and provide feedback. Your feedback helps WhiteCap Institute improve future educational programs.

Name(Required)
If provided, enter the completion code announced at the conclusion of the course.
Attendance Verification(Required)
Overall, how would you rate this educational program?
How would you rate the instructor(s)?
The program met its stated educational objectives.

Course Disclaimer

The information, techniques, procedures, and materials presented in this continuing education program are provided for educational purposes only. They are intended as professional guidance and do not replace the clinician’s independent professional judgment. Each patient and clinical situation is unique, and participating clinicians are responsible for making their own treatment decisions.

Course Disclaimer Acknowledgment(Required)

Media Consent

WhiteCap Institute and DIO Implant USA may photograph or record educational programs for educational, promotional, and marketing purposes. Please indicate whether you authorize the use of photographs or recordings in which you may appear.

Media Consent(Required)