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AGD2021

DENTIST/HYGIENIST Volunteer Sign Up

Thank you for volunteering to perform oral cancer screenings at AGD2021 on Friday, June 11, 2021 at the Fairmont Hotel in Austin, Texas.  There will be participation credit available.

Dentists must be licensed in the state of Texas; out-of-state dentists can apply for a temporary license but must complete the attached application and return it with the required documents to AGDF. PLEASE NOTE:  this form MUST be returned to AGD Foundation, not the state.

Hygienists must be licensed in the state of Texas. Unfortunately the state does not provide temporary licenses for hygienists.

Dental students cannot screen, but can help with patient in-take and education.

STUDENT VOLUNTEERS can register here:  www.agd.org/StudentVolunteers 

A volunteer form will be onsite for all volunteers to sign. For questions, please email [email protected]

For more information about the AGD Foundation, please visit www.agd.org/agd-foundation

 

Date: 06/11/2021 (Fri.)

Location: Fairmont Austin
101 Red River St., Austin, TX 78701

Related files:

Created by:   AGD Foundation Oral Cancer Screening
 
Already signed up? You can change your sign up.

Time (PDT) Available Slot
6:00am - 7:00am  

Cancer Screening (7)

 
4 of 7 slots filled
Kay Jordan
1862995
James Keenan
168116
Abe Dyzenhaus
125740
Gary Heyamoto
158703
7:00am - 8:00am  

Cancer Screening (7)

 
5 of 7 slots filled
Kay Jordan
186295
James Keenan
168116
Richard Kanter Kanter
192170
Abe Dyzenhaus
125740
Gary Heyamoto
158703
8:00am - 9:00am  

Cancer Screening (7)

 
5 of 7 slots filled
Kay Jordan
186295
James Keenan
168116
Richard Kanter Kanter
192170
Abe Dyzenhaus
125740
Gary Heyamoto
158703
9:00am - 10:00am  

Cancer Screening (7)

 
5 of 7 slots filled
Kay Jordan
186295
James Keenan
168116
Richard Kanter Kanter
192170
Abe Dyzenhaus
125740
Gary Heyamoto
158703
10:00am - 11:00am  

Cancer Screening (7)

 
5 of 7 slots filled
Kay Jordan
186295
James Keenan
168116
Richard Kanter Kanter
192170
Abe Dyzenhaus
125740
Gary Heyamoto
158703
11:00am - 12:00pm  

Cancer Screening (7)

 
5 of 7 slots filled
Kay Jordan
186295
James Keenan
168116
Richard Kanter Kanter
192170
Abe Dyzenhaus
125740
Gary Heyamoto
158703
12:00pm - 1:00pm  

Cancer Screening (7)

 
4 of 7 slots filled
Kay Jordan
186295
James Keenan
168116
Abe Dyzenhaus
125740
Gary Heyamoto
158703
1:00pm - 2:00pm  

Cancer Screening (7)

 
4 of 7 slots filled
Kay Jordan
186295
James Keenan
168116
Abe Dyzenhaus
125740
Gary Heyamoto
158703
2:00pm - 3:00pm  

Cancer Screening (7)

 
4 of 7 slots filled
Kay Jordan
186295
James Keenan
168116
Abe Dyzenhaus
125740
Gary Heyamoto
158703
3:00pm - 4:00pm  

Cancer Screening (7)

 
1 of 7 slots filled
James Keenan
168116
4:00pm - 5:00pm  

Cancer Screening (7)

 
1 of 7 slots filled
James Keenan
168116
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