Eastman Institute for Oral Health / Educational Programs / Continuing Education / Oral Medicine Conference / Registration & Payment / Conference Registration 2024 Oral Medicine Conference Registration Oral Complications in Cancer Patients – Challenges and Solutions First Name * The first and last names will be used in the CE certificate and billing information. Last Name * Email Address * The registration confirmation will be sent to this email. Verify Email address * Institution Institute you are affiliated with City State Country (select country) Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo (Dem. Republic) Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey and Alderney Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Island of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea (Democratic Republic of) Korea (Republic of) Kosovo Kuwait Kyrgyz Republic Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldavia Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua-New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Re union Republic of Dominica Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay USA Uzbekistan Vanuatu Vatican (Holy See) Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Zambia Zimbabwe Are you a DPBRN-MEMBER? YesNo Discount may apply; please check with the DPBRN office for details Are you a student in the 2023-2024 DEN411 Medical-Dental Inter-Relationships course? * YesNo What is your degree/profession? (select) DMD/DDS DA DH/RDH other Are you an EIOH Alum? YesNo Are you a current resident in an EIOH program? (select program) General Practice Residence Advanced Education in General Dentistry (1 yr) Advanced Education in General Dentistry (2 yr) Advanced Education in General Dentistry (3 yr) Prosthodontics Periodontics Pedodontics Orthodontics Perceptorship Oral surgery Community Dentistry Are you enrolled in a Master program? YesNo Are you presenting a poster at the poster exhibition of the 2024 Oral Medicine Conference? YesNo Discount Code Apply Registration Fees Dentists and physicians $270.00 $0.00 EIOH faculty, EIOH Alumni $180.00 $0.00 EIOH retired faculty $160.00 $0.00 EIOH residents, students, and DAs $60.00 $0.00 EIOH staff taking the basic laser safety and exam only $15.00 $0.00 Dentists and physicians (discount applied) $200.00 $0.00 EIOH staff taking the basic laser safety and exam only (with discount) $0.00 $0.00 Residents attending the 2023-2024 Medical-Dental Inter-Relationship course (DEN411) $0.00 $0.00 Poster Presenter 2024 (discount applied) $0.00 $0.00 EIOH DH $120.00 $0.00 Dental auxiliaries (non-EIOH DH) $180.00 $0.00 Dental auxiliaries (non-EIOH DH) (discount applied) $135.00 $0.00 Total: $0.00 A confirmation email will be sent to you within 1 hour Registration will be closed on 4/19/2024