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					                             REGISTRATION                                                 Embassy Suites Hotel & Conference Center
                                                                                                   1001 E. McCarty Lane
           2011 TDHA ANNUAL SESSION                                                              San Marcos, Texas 78666
          September 30 – October 2, 2011
Please Print or Type:                                                                           MEETING REGISTRATION
Name: ______________________________________(Credentials) __________
                                                                              All attendees of the TDHA Annual Session MUST pay a registration fee, which entitles
( As you wish it to appear on your name badge- include credentials for your
                                                                              you to admittance to a variety of events. IF only attending continuing
discipline RDH, BA, ect.)
                                                                              education courses no Registration fee is needed. PLEASE indicate below which
ADHA # ______________________Home Phone (_____)__________________             events you plan to attend so that adequate arrangements can be provided. Some are
                                                                              ticketed events.
Email: _____________________________________________________________          * Included in Annual Session registration - but requires a ticket.
                                                                               Yes  No *Welcome Breakfast, Friday AM only (All Registrants)
Address: ___________________________________________________________           Yes  No *Parliamentary Review, Friday AM (All welcome to attend)
                                                                               Yes  No *Marketplace, Corporate Vendors and Reception
City: _________________________ State____________ Zip _________________        Yes  No *Installation of Officers/ Reception Sunday 3rd House
                                                                               Yes  No Continuing Ed ucation Attendee only
Component: ______________________________ Date of Birth: ______________        Yes  No Continuing Education Attendee attending marketplace
Please Mark All Applicable Titles:                                             Yes  No *Product Presentation 1 hour FREE CE
 Officer ___________________________ ( ADHA  TDHA  TDHEA)                  Yes  No Dental Hygiene Director’s meeting (Directors Only)
 Trustee  Council / Committee Chair _________________________________        Yes  No Clinical Coordinator’s meeting (Clinic coordinators only)
                                      (Name of TDHA Council/ Committee)        Yes  No Lunch & Learn by Hain Diagnostic Free 1hr CE
 Delegate                      Alternate                                                       (Seating is limited) Friday only. Must pre register
 Member                         Non - Member                                                   Respond to: Jennifer@hain-diagnostics.com
 Student Member                 Past President (ADHA / TDHA)
 SBDE Member                    Clinical Coordinator                        *** Registration for TDHA Annual Session will automatically enter your name into a
 DHAC Member                    Exhibitor                                   drawing for a FREE year of ADHA membership. Drawing will be held during Annual
 Director or Faculty of School ____ _________________________________        Session, Third House of Delegates.
 Mark here if you do not want your name shared with our sponsors.
                                                                                                                     Postmarked on or         Postmarked after
 Special dietary needs, please explain: _____________________________                                                before Sept. 10th        Sept. 10th
 Yes, please send me information regarding ADHA membership
 Yes, FIRST TIME ATTENDEE TO ANNUAL SESSION                                  TDHA Member/ DH Student                    $ 75.00              $ 105.00
   (PLAN ON ATTENDING PARLIMENTARY COURSE FRIDAY AM)                          Non- TDHA Member                           $ 110.00              $ 140.00
 CONTINUING EDUCATION COURSES only                                           Meeting Registration Total                             $______________

                                                                              Registration information for continuing education courses on next page.
                                 SPECIAL EVENTS                                                            MARKETPLACE FOR CONTINUING EDUCATION ATTENDEES
* Ticket Required                                                                                     If you are attending Continuing Education Courses only and wish to attend the
                                                                                                                                Marketplace the fee is $ 10.00
Friday, September 30, 2011  12:00-- 1:30 pm                 $ 35.00*
        IOH – Luncheon (Portion of the fee benefits the IOH)

Saturday, October 1, 2011                                                                                                  is sponsoring a FREE 1hr CE Lunch & Learn. Friday only.
                                                                                                    (Seating is limited) Must pre register No onsite registration for this course.
Tex Hy-Pac – Lunch/ Auction 12:00 – 1:30                                      $ 35.00*             Respond immediately. Respond to: Jennifer@hain-diagnostics.com TDHA is not
                                                                                                    registering for this event must respond to above email.

President’s Dinner    7:00 -- 11:00 pm                                        $ 45.00*             Refund Policy: Cancellation deadline is September 10, 2011 and requires written
                                                                                                    notice. NO EXCEPTIONS. All refunds are subject to a $25.00 administration fee. A
        –“Prime Time Awards” (A Red Carpet Event)
                                                                                                    $5.00 charge will be accessed for all changes in registration after deadline date. All
                                                                                                    refunds will be mailed after the meeting.
SPECIAL EVENTS TOTAL:                                       $ ____________________
                                                                                                            Meeting Registration Total:                 $ __________________
                                                                                                            Special Events                              $ __________________
                                                                                                            Continuing Education Total:                 $___________________
                                                                                                            Continuing Education Marketplace            $ ___________________

FRIDAY, September 30, 2011 Donna Brogan, RDH
9:00 am – 12:00 pm Just Because They Need It Doesn’t Mean They’ll Want It…Strategies                Grand Total:                                        $ __________
                          for Long Term Oral Health and Patient Motivation
2:30 pm – 5:30 pm          From “No to Go”: Customized Care for Healthy Patients and a Healthy      Checks made payable to TDHA or use
SATURDAY, October 1, 2011 Tricia Osuna, RDH
9:00 am – 12:00 pm        What is it? How do I use it? Today’s dental products and treatment        (Your packet of materials will be ready for you at the table for Pre-registered Guests a
                          options.                                                                  receipt will be enclosed in your packet. No confirmation will be mailed.)
1:30 pm – 4:30 pm         Oral Cancer: An Important & often Scary Subject -Facts & Tools for your
EARLY BIRD FEE      BEFORE 9/21             **DATE EXTENDED**        AFTER 9/21                     Payment options: Checks made payable to TDHA or use PayPal
                    AM      PM           BOTH                        AM       PM        BOTH
ADHA member         $60     $60          $110                        $80      $80       $150
Non member                                                                                          Please mail to:           Hope Garza, RDH
(RDH & DDS)         $70        $70       $130                        $90       $90      $170                                  612 Eleanor
Dental Assistant    $50        $50       $90                         $70       $70      $130                                   Houston, TX 77009
                                                                                                    Questions:                (713) 697-2545

                                                                                                    HOTEL INFORMATION:
                                                                                                    EMBASSY SUITES, SPA AND CONVENTION
                                                                                                    1001 McCarty Lane San Marcos Texas 78666
                                                                                                    800- EMBASSY mention TDHA
                                                                                                    Call hotel for room reservations:
                                                                                                    Rate: Single $135 Double $135 Triple $145 Quad $ 155
             2011 THDA ANNUAL SESSION AND
                                                                                       Sunday, October 2, 2011
Thursday, September 29, 2011
                                                                                       Free Breakfast with hotel stay
Free Breakfast with hotel stay
Board of directors meeting                          8am – 4 pm                         Fellowship                             8:30 am – 9:00 am
Registration                                        5pm - 9 pm                         Membership                             8:00 am – 9:00 am
                                                                                       3rd House of Delegates- Installation   9:15 am – 12:00 pm
Friday, September 30, 2011                                                             Post Board/ Board Orientation          12:30 pm – 3:30 pm

Free Breakfast with hotel stay
Registration                                               All Day
                                                                                       PLEASE TAKE TIME TO FILL OUT YOUR EVALUATION
Parliamentary review                                7:30 am -- 8:30am
(Everyone is welcome to attend this review. It is recommended for all new delegates)   FORM. We are interested in your opinions. You can turn it in
Past President Breakfast                            7:30 am -- 8:30am                  at the registration desk.
Component President’s Breakfast                     7:30 am – 8:30 am
Opening Ceremonies                                  8:30 am – 9:30 am
CE course                                           9:00 am–12:00 pm
First House of Delegates                            9:30am –10:30 am                              Directors and Coordinators Schedule
Bylaws and Resolutions                              10:30am – 11:45 am
IOH luncheon                                        12:00pm – 1:30 pm                   Friday 10:00am - 4:30pm Annual Meeting with a working lunch
Hain Diagnostic: “Eat and Learn”                    12:30pm – 1:30 pm
Product Presentation                                1:30 pm – 2:30 pm
                                                                                                4:30pm – 7:00pm Marketplace
CE course                                           2:30 pm -- 5:30 pm
Marketplace wine and cheese                         3:30 pm – 7:00 pm                   Saturday There are no scheduled meetings for directors and
Component Caucuses                                  on your own                                  coordinators so you can attend TDHA events

Saturday, October 1, 2011
Free Breakfast with hotel stay
Que Pasa? In your profession
                                         ALL DAY
                                         8:00 am -- 9:00 am                            See you in 2012 right here in …
2 House of Delegates                     9:00 am – 11:00 am
CE Course                                9:00 am – 12:00 pm
Legislative Forum                        11:00 am – 12:00 pm
HY PAC lunch                             12:00 pm -- 1:30 pm
CE Course                                1:30 pm – 4:30 pm
Candidates forum                         4:30 pm – 5:30 pm
Voting                                   5:30 pm – 6:30 pm
President’s Reception/Dinner/Music       7:00pm – 11:00pm
       (Prime Time Awards-- A Red Carpet Event)
              Continuing Education Course information

Donna Brogan, RDH, BS
                                                                                       Hain Diagnostics is offering a free lunch and learn, Friday only 12:30 – 1:30, to
Friday, September 30, 2011                9:00 – 12:00                                 the first 50 people who sign up at info@hain-diagnostics.com this will confirm
                                                                                       your entry, 1 CE, and free lunch. NO onsite registrations. TDHA is not
Just Because They Need It Doesn’t Mean They’ll Want It…Strategies for                  registering for this event must pre register with above email.
Long Term Oral Health and Patient

How do you motivate your patients to prevent disease or improve their oral             Tricia Osuna, RDH, BS, FAADH
health? This issue is one of the most challenging that dental professionals deal
with on a regular basis. Risk assessment, including CAMBRA, and motivational           Saturday, October 1, 2011           9:00 – 12:00
communication are critical elements on which you can develop a customized              WHAT IS IT? HOW DO I USE IT?
treatment plan for your patient.                                                       Today’s dental products and treatment options
Patient adherence dramatically impacts the prevention of dental diseases, as
well as the long-term success of therapeutic, restorative and cosmetic                 Today’s dental sessions require an exhaustive knowledge of products,
procedures. Research shows that true motivation comes from within. You will be         instruments and equipment.
introduced to a communication method known as Motivational Interviewing (MI),          Our profession has changed and grown to a new level which offers us continuous
which has been shown to elicit “changetalk” directly from your patients. MI has        challenges to recognize the new advances in technology and their use in
been proven to be effective in counseling and is now being utilized successfully       dentistry. As professionals providing health services, we should be at the pulse of
in healthcare and dentistry.                                                           clinical devices and treatment, while being able to recommend product protocols
This interactive course allows the attendee to match reality with the science,         for use in the office. The process of care (assessment, diagnosis,
psychology and solutions of patient and practice success. New products will be         treatment planning, implementation and evaluation) requires us to understand
introduced such as diagnostic tools, remineralization therapies and interdental        what these products are, how to use them, contemporary treatment options, how
cleaning. Be prepared to share your ‘Must Haves’ with your colleagues and gain         to implement the procedures and evaluate what is and what is not working for us
a wealth of practical information.                                                     as individuals and as clinicians. We will also discuss ergonomic options to protect
                                                                                       you as clinicians.
Friday, September 30, 2011         2:30 – 5:30
From ‘No to Go’: Customized Care for Healthy Patients and a Healthy                    Saturday, October 1, 2011         1:30 – 4:30
Practice                                                                               ORAL CANCER: An important and often scary subject ~
                                                                                       Facts and Tools for your practice
Customized Care uses a risk assessment model that evaluates potential risk for
oral diseases. This practical “how-to” program will discuss patient risk               Today’s treatment of patients sessions require an exhaustive knowledge of
assessments, customized integrated treatment plans and high impact                     products, instruments and equipment. One procedure which has not changed
communication. It will look at the “traditional” treatment plan versus the             over time is the responsibility, as healthcare providers, to either perform regular
customized, comprehensive, plan. We will discover the co-diagnosis process and         Oral Cancer Screenings or recognize the need to do so if not in dentistry.
how it helps patients “own their own disease”.                                         Unfortunately, many professionals are in need of updated information to
                                                                                       reinforce which tools are on the market to perform screenings as well as to
You will learn how to elevate your hygiene department’s clinical standard of care      enhance their skills to communicate with their patients and staff of the
by transitioning from frustrating prophies to customized periodontal therapy.          importance of this screening process. As professionals providing health services,
Participants will be taught techniques to communicate the oral systemic link           we should be at the pulse of clinical devices and appropriate patient care, while
effectively to patients. Distinguish your practice from others by enrolling patients   being able to recommend product protocols for use in the office.
in a customized care plan.

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