2017 Laser Education Series

PHASTTM Start Laser Training

Operative. Endo. Perio.

October 26-28, 2017 Chicago, IL

Copyright 2015, Fotona, LLC. all rights reserved

Fotona LLC is the exclusive owner of all right, title and interest in this syllabus, and each chapter and portion thereof, and all

contents of any course materials or classes provided by Fotona LLC or its authorized representative. This includes, without

limitation, all statutory and common law rights under copyright, trademark, trade dress and patent law. It cannot be copied,

reprinted, reproduced, displayed, performed, distributed in hardcopy, emedia or by any electronic or other similar means, in whole,

or in part, without the express written consent of Fotona executive management.

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Academy of Clinical Technology 2017 Laser Education

Content Information

Course Information……………..P. 3

Travel Information………………P. 4

Registration Form……...……….P. 6

Contact Us………………………P. 7

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Academy of Clinical Technology 2017 Laser Education

Course Information

Operative. Endo. Perio

We will be providing an in-depth three-day course covering the following topics:

Laser Operative - Providing a basic understanding of laser physics as well as laser tissue interaction. The operative course will also provide guidance and procedural input for everything from cavity preps to a variety of soft tissue applications.

Laser Endo - Providing in-depth and hands-on instruction for the execution of the PHAST™ protocol. This will also include your PHAST™ license.

Laser Perio - Providing the basic skill set necessary for the execution of laser perio treatments as well as hands-on training.

Space is limited…register ASAP!

*Receive Continuing Education credit at 8 hours-per- day (24 total)

*Delivery method includes lecture and hands-on participation

*Course Verification Code: PHASTOct2017

ACT Advanced Laser Class Schedule:

Thursday, October 26th: 8am - 5pm

Friday, October 27th: 8am - 5pm

Saturday, October 28th

: 8am - 3pm

(Suggested Arrival Date: Wednesday, October 25th)

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Academy of Clinical Technology 2017 Laser Education

!

Travel Information

Airport:

Midway International Airport

5700 S. Cicero Avenue

Chicago, IL 60638

http://www.flychicago.com/midway/home/pages/default.aspx

Course Location: Hilton Chicago

720 South Michigan Avenue

Chicago, IL 60605 http://www3.hilton.com/en/hotels/illinois/hilton-

chicago-CHICHHH/index.html

(Approximately 10 miles from Midway airport)

*Hotel Reservation Instructions on next page

Rental Cars can also be reserved for your convenience as well:

http://www.flychicago.com/midway/tofrom/rentalcar/pages/default.aspx

taxi information, please click on the link below:

http://www.flychicago.com/midway/tofrom/taxi/pages/default.aspx

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Academy of Clinical Technology 2017 Laser Education

Hotel Reservations at the Hilton Chicago: (upon availability)

Please click the link below:

https://aws.passkey.com/go/Fotona

**Please note, the discounted rate ends September 24, so attendees will be responsible for their own hotel reservation thereafter. Discounted rooms within the block are on first come,

first serve basis.**

Room Rates: $179/night (does not include taxes) -Room Service

-Fitness Center and Jogging Track -Bar & Lounge

-Gift Shop

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Academy of Clinical Technology 2017 Laser Education

Registration Form

Send filled Registration form to Alexia Eng at Aeng@fotona.org or by fax: 949.276.6651

WORKSHOP CODE / DATE PHAST Training- August 2017

FAMILY NAME

FIRST NAME

ACADEMIC TITLE/SPECIALIZATION

ADDRESS

COUNTRY

PHONE

E-MAIL

PROFESSIONAL EXPERIENCE

EXPERIENCE WITH LASERS

If yes, what kind of lasers?

How many years?

REGISTRATION CONDITIONS

Deadline: 4 weeks before the start of each workshop at the

latest. Registration is valid only after payment (from Fotona

distributor!!) has been received. The number of participants is

limited for each workshop; registrations are accepted on a first-

come, first-served basis.

The policy for refunding registration fees will be as follows:

50% refund 14 days before the start of the workshop. Refunds

cannot be given any later than 14 days before the start of the

workshop. Notice of cancellation must be made in writing

(fax/email) to Fotona. The date of receipt (fax/email) will serve as

the basis for refunds.

Confirmation of registration: will be sent to you 4 weeks before

the start of each workshop. Please arrange flight and hotel

bookings after receipt of confirmation ONLY. Fotona cannot be

held liable for any cancellation fees for travel arrangements.

PAYMENT This filled-in registration form can be considered a proforma

invoice. The final invoice will be sent after the conclusion of the

workshop.

Amount: $7,500.00 -Dentist

Credit Card Information:

Circle One: Visa MasterCard AMEX Discover

CC Number: ___________-___________-__________-___________

Exp: __________________ / ______________________

Billing Address:

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Academy of Clinical Technology 2017 Laser Education

Contact Us

If you have any questions, prior to your arrival or during your

stay, please feel free to contact us through the following

methods:

Alexia Eng (aeng@fotona.org / 949.276.6649)

Fotona LLC is the exclusive owner of all right, title and interest in this syllabus, and each chapter and portion thereof, and all

contents of any course materials or classes provided by Fotona LLC or its authorized representative. This includes, without

limitation, all statutory and common law rights under copyright, trademark, trade dress and patent law. It cannot be copied,

reprinted, reproduced, displayed, performed, distributed in hardcopy, emedia or by any electronic or other similar means, in whole,

or in part, without the express written consent of Fotona executive management.

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Academy of Clinical Technology 2017 Laser Education

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Academy of Clinical Technology 2017 Laser Education