Oral Health Regulator Amalgamation

Small Group Meeting Sign Up Form for CDSBC Registrants

The oral health regulators are seeking the perspective of oral health care providers in B.C. regarding the amalgamation of the four existing colleges into a single oral health regulator.

We are looking for registrants to represent all parts of the province and a variety of practice settings and experience to participate in focused online group meetings. As these are small group meetings there are a limited number of seats; however, the initial discussions of these small groups will inform an upcoming survey of all registrants.

Please complete the form below to express your interest in participating. Participants will be selected to ensure different perspectives and practice experiences are reflected. If you are not contacted to attend a small group meeting, you will have an opportunity to provide feedback through the survey mentioned above.

Name*

Email address*

I am a:*

I work in a small/solo private practice

I work in a multi-practitioner clinic

I own my private practice

I am an associate in a small/solo private practice

I am an associate in a multi-practitioner clinic

Please indicate which of the two time slots below would work best for you to attend a small group meeting:

*

Saturday, February 20 2-3:30 pm

Tuesday, February 23 7-8:30 pm

Wednesday, February 24 7-8:30 pm

Saturday, February 27 10:30-noon

Thursday, February 18 7-8:30 pm

Saturday, February 20 10:30-noon

Thursday, February 18 7-8:30 pm

Saturday, February 20 10:30-noon

In what region/location do you practice?*

Years in practice:*

Are you or have you ever been a board or committee member of a regulator or professional association (College of Dental Surgeons of BC, BC Dental Association, Canadian Dental Association, Certified Dental Assistants of BC, any other dental representative association or organization)?*

Yes

No

Thank you for your interest in attending one of our small group meetings.