EmailMe Form - D4: Lip Augmentation & PRP Aesthetics

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Select the course date you wish to attend: *

August 26-27, 2023 - Miami, FL

April 6-7, 2024 - Miami, FL

August 24-25, 2024 - Miami, FL

Included with 2-Day, $3450 Registration:

- Complete Lecture Presentations & Training Materials
- Breakfast and Lunch (Both Saturday & Sunday)
- Certificate of course completion - 16 CE (ADA CERP & AGD PACE Recognized)

Enter Promotion Code for Tuition Discount
(Discount will not appear online now, however it will be applied when processed. Note: Only one discount per registration)

Would you like to bring a staff member to attend the program with you? *

Both Days - $650

Saturday Lecture only - $450

Not Bringing Staff

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Important Patient Information - Please Read

Sunday will be all day hands-on and this will be the only day you will need to bring your patient(s). All participants will be a lip augmentation case and if requested, a PRP case. We will have various products available that can be purchased during the class depending on the diagnosis of your patient. Our PRP expert will also be there and can spend more time showing the process including blood draw until the point of injection. All patients will fill out dermal filler consents forms in addition to medical history forms prior to procedures.

If you are wanting to bring your own patient, please use these guidelines when selecting your model patient or patients:

- Someone who would like to enhance or add overall volume to their lips
- Someone who has lip lines or asymmetries to their lips
- Someone who has lost the border of their lips or would like to establish more definition to this border
- Someone who has dropped corners of their mouth

We will be sending you pre-treatment instructions that you need to provide to your patients at least 48 hours prior to the day of treatment. If we are providing a patient for you, we will be providing your patient this information. We will also be providing this information during the course, however, it is important they also get it prior in preparation as may patients are on daily medications and/or supplements that may make them NOT ideal patients for injections. Patients who bruise easily because of medications that act as blood thinners or other disease processes may not be good candidates.

Even though treatments with Botox and dermal fillers are minimally invasive procedures, patients should know bruising and swelling is normal post treatment. Model patients should not have any important work or personal events coming up within two weeks of treatment.

Patient Information *

I will bring a Lips treatment model and I have a patient to be considered for PRP

I will bring a Lips treatment model and please provide me a patient for PRP

Please provide me a Lips treatments model and I have a patient to be considered for PRP

Please provide me a patient for both Lip treatments and PRP

No additional cost for patients being provided. If you have a patient to be considered for PRP please send pictures of the patient to info@dentaspa-seminars.com

Patient Name (if bringing)

Additional Costs:

Dermal Fillers: We will have various filler products available that can be purchased during the class depending on the diagnosis of your patient. If you are participating in the PRP and Micro-Needdling training, a partial, minimal supply fee of $68 will be added when you check out during the training.

Any Additional Information? (food allergies, special accommodations, etc.)

Billing Information - When you click submit, you will be taken to our online payment portal.

Please note that in order to accommodate your attendance, any remaining tuition balance will be charged 3 weeks to the course date.

****Unless otherwise instructed here, any remaining balance will be processed 3 weeks prior to the course date****

Special Billing Requests, if any

Terms and Conditions

Please read completely

I understand that, once registered, I am reserving one of a limited number of spaces in a DentaSpa training course and that my reservation may prevent another practitioner from participating in the course. As such, I understand that to avoid a $399 Rescheduling Fee, I am responsible for determining my availability in advance and will advise DentaSpa within four (4) calendar weeks of the course date if I am unable to attend and need to reschedule. As class sizes are limited and my cancellation may cause DentaSpa Seminars harm, I understand that DentaSpa offers rescheduling, but no refunds. My signature also guarantees that I will take it upon myself to ensure that the procedures being taught are legally permitted in my state of licensure under my Board's current laws and legislation.

I understand that I have the option to print this form, sign, and fax to (305) 938-5018. By submitting online, I am authorizing DentaSpa Seminars to process my registration for the selected course(s). Any remaining tuition balance will be charged 3 weeks prior to the course date.

Media Release and Information Usage

This policy ensures compliance, transparency, and a valuable learning experience for our esteemed participants at DentaSpa Seminars.

During our comprehensive courses, we capture photos and videos to showcase the high-quality training, hands-on experiences, and expert guidance provided. These visuals are used across multiple marketing channels to inspire and inform dental professionals worldwide.

By completing the registration form, attendees grant consent for DentaSpa Seminars to use their likeness in promotional materials, including photos, videos, testimonials, and case studies. Participants understand the public sharing and unlimited utilization of these visuals. Personal information, such as email addresses and phone numbers, will be strictly used for internal purposes, including sharing information on advanced courses, industry updates, and exclusive offers.

DentaSpa Seminars is committed to protecting attendees' privacy and rights, adhering to applicable data protection laws. Attendees may withdraw their consent for media release and information usage by contacting our team prior to the course.

For further information, contact DentaSpa Seminars at info@dentaspa-seminars.com *

By checking this box, I am signifying that I have read and understand these terms and conditions.

Please type in your full name to act as your signature in full agreement with these terms and conditions. *