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Anesthesia for Texas Hygienists Course applicant info - Cohort 5
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Dental CE Program Application Information
Contact Information
First Name
Middle Name
Last Name
Email Address
Birthdate
Birthdate
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Mobile Phone
Text Opt-In
I agree to receive texts from Texas Tech University Health Sciences Center El Paso. Message and data rates may apply.
Text Opt-In
I agree to receive texts from Texas Tech University Health Sciences Center El Paso. Message and data rates may apply.
Yes
No
Address Information
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Employment
Employed
Yes
No
Please enter your current employer:
Years of experience as a licensed dental hygenist:
1
2
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How did you hear about the course?
Other
Print
Radio
Search Engine
Social Media
TV
Word of Mouth
Documents needed:
Current immunization record
CPR / BLS current record
Dental CE Program Insurance
Unincombured license
Cohort Session Groups
Select the Session Cohort of Interest
Select the Session Cohort of Interest
2025 January
Submit
