This is very important information regarding the American Academy of Facial Esthetics Level II Advanced Dermal Filler Course.
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1 This is very important information regarding the American Academy of Facial Esthetics Level II Advanced Dermal Filler Course. Please read all information carefully. Please submit the Reservation Form along with a copy of your current state practicing license and the declarations/cover page of your malpractice insurance. Please fax or these items to Lindsay Woods at: Fax: or Lindsay@FacialEsthetics.org ***If you have any questions about the course, please contact Lindsay Woods by calling Ext 702 or via . Here is the agenda for the Advanced Level II Dermal Filler Course: *Note: You must have your Dermal Filler Level II online training completed with a passing grade to attend the onsite course. Dermal Filler Intro Live Patient Dermal Filler Course Ends 1:00 PM 1:30 PM 5:00 PM 5:00 PM **Patients will not be allowed to enter the course until 1:30PM. Team Members We still have availability for you to bring additional staff members with you to the course. In order to attend as a team member, your guests must not be a nurse, a doctor of any profession, or a possible injector. All names will be verified through the state boards and full tuition will be charged if this policy is not carried out. AAFE Members - your first team member is FREE. All other team members admission cost is $395 per person. Payment is required even if the team member sitting in on the course is your model patient. Please let us know as soon as possible if you plan to bring any
2 additional team members. Model Patients For the best learning experience, please bring your own model patients. If need be, it is likely that you will find a model patient at the course. You can bring up to 2 patients per day. Please let your model patients know that they must be available for approximately 3-4 hours, as this is a teaching course. Attendees are solely responsible for treatment of their patients at this course. You will treat your patients as you would in your office. The hands-on portion of the course will be arranged in Groups A, B and C and is dependent on meeting size. Groups will be determined the morning of the meeting. Patients should arrive when the hands-on portion of the course begins or when you have a better understanding of what group you are in. If you choose not to bring a model patient, you may observe the hands-on portion of the course. You may also find a patient at the course. Checklist for Level II Training Please bring the following: Digital camera to document patient prior to injections. (Camera phones work also) Loupes/headlights if you use them in your practice Two sterilized dental anesthetic syringes. (Needles will be provided) Your preferred local anesthetic. *YOU MAY BRING YOUR OWN FDA APPROVED FACIAL INJECTABLES TO THE COURSE* Here are some tips for choosing a model patient for the Level II Course: In this upcoming Level II course, the facial lines, wrinkles and folds that are ideal to treat with Botox and Dermal Fillers are all the areas that were covered in the AAFE Level I course and those patients requesting treatment for gummy smile, esthetic eyebrows, anatomical lip sculpting, cheek enhancements, bunny lines, and down turned corner of the lips. Attendees should have experience and have treated with dermal fillers approximately 10 patients before attending this course. The model patient should have mild, moderate to deep folds and lines - these are the best patients to train on. The model patient should not be needle phobic. The model patient should be easy to anesthetize and be able to tolerate local dental anesthesia.
3 If your patient has TMJ/myofascial pain and bruxism, these areas will be addressed as well. The patient should be healthy, with no active skin infections, and have a clean medical history. Patients with neurological, autoimmune and immunological diseases are not the best candidates, as well as people with long term systematic diseases. Patients, who bruise easily, because of medications or other disease processes, may not be good candidates. The model patient may have some swelling and/or bruising after treatment. If you are unsure about whether a patient's medical condition is a contraindication to Botox and/or dermal filler therapy, please check with their physician prior to treating them at this course. Dermal Filler Pre-Treatment Instructions In an ideal situation, it is prudent to follow some simple guidelines before treatment that can make all the difference between a fair result and/or great result, by reducing some possible side effects associated with the injections. We realize this is not always possible; however, minimizing these risks is always desirable. Let us know if you are prone to cold sores- a pre-operative medication may help prevent cold sores after treatment. If you develop a cold sore, blemish, or rash, etc. prior to your appointment, you must reschedule. Discontinue Retin-A (2) two days before and (2) two days after treatment. Avoid anti-inflammatory or blood thinning medications ideally, for a period of two weeks before treatment. Medications and supplements such as Aspirin, Vitamin E, Gingko Biloba, St. John s Wart, Ibuprofen, Motrin, Advil, Aleve, Vioxx, and other NSAIDS are all blood thinning and can increase the risk of bruising/swelling after injections. Schedule appointments at least 2 weeks prior to a special event which may be occurring, i.e., wedding, vacation, etc. It is not desirable to have a very special event occurring and be bruised from an injection which could have been avoided. Every model patient must sign an informed consent prior to treatment. Consents will be provided at each course and there will be no exceptions.
4 We have the right to refuse treatment to any patient. If you have any questions about your patient, please Dr. Malcmacher at All course completion certificates and continuing education credits will be awarded to attendees when all course tuition, team member verification, and course/product fees have been reconciled. IMPORTANT: Cancelation Policy Registration is fully refundable only if course is canceled by The American Academy of Facial Esthetics. We reserve the right to cancel a course for any reason and cannot be responsible for hotel deposits or non-refundable airline tickets or other associated fees. Hotel locations may change depending on circumstances beyond our control. No refunds for online courses. We take no responsibility regarding state medical or dental board requirements. Participants are responsible for determining whether they are able to perform these procedures at our courses and in their own practices. We are not responsible for decisions or changes made by state medical/dental board about their state practice acts prior to our courses. Registration is also fully refundable no later than 5 PM same date one month before course minus $775 handling fee. No refunds after same date one month before the first course that you registered for. At our discretion, you may be able to change to another date and location but there will be no refund available should you cancel out of that course or fail to show up.
5 Reservation Form for Facial Esthetics Advanced Level II Please be sure to read all pre-course information prior to completing this form. Name as you would like it to appear on your certificate: Course Dates and City Location Attending Team Members In order to attend as a team member, your guests must not be a nurse, a doctor of any profession, or a possible injector. All names will be verified through the state boards and full tuition will be charged if this policy is not carried out. Please note Team Member info only- Patients do not need to be reported. 1. Dermal Fillers 2. Dermal Fillers Dermal Fillers will be available for purchase at the course. **We accept credit cards only** Please fax or this form along with license and malpractice insurance. FAX # or Lindsay@FacialEsthetics.org
Frontline TMJ and Facial Pain Therapy Course-Level II.
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Today s Date: PATIENT INFORMATION: FLORIDA COSMETIC SURGERY CENTER Dennis R. Ward MD, Medical Director and Associates 201 Maitland Ave. Suite 1017 Altamonte Springs, FL 32701 (407) 831-4454 (407) 831-4559
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