Submission form for Exhibitor Show Specials
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Dental clinics, dental societies and other organizations that host special events and access to dental care programs may submit this form to get a volunteer opportunity listed on the ODA Volunteer Connection webpage.
Downtown area parking map and directions for Annual Session attendees and exhibitors.
Use this form to make a donation to the ODA Foundation via fax or mail.
Dentists who opt out of Medicare must provide their Medicare-eligible patients appropriate notice, via a private contract, before providing them with Medicare covered services in order for the contract to apply. This document is a sample contract.
This sample affidavit from the ADA can be used by providers who would like to opt out of Medicare and return it to CGS Administrators, LLC, Provider Enrollment Department, P.O. Box 20017, Nashville, TN 37202-0013. Dentists should provide CGS with additional information, e.g. Social Security Number, if requested after submitting this affidavit.
