(303) 488-9700 mdds@mddsdentist.com
    Course Submission - Submit a speaker or course for review.

    Thank you for your interest in submitting a presentation to the Metropolitan Denver Dental Society (MDDS). We require all presentations to be submitted online by completing the form below. All presentations will be considered for both the Rocky Mountain Dental Convention (RMDC) and an MDDS Continuing Education Program (in-person or virtual). All courses submitted are reviewed by the MDDS Education Committee and/or the MDDS Member & Community Engagement Committee (webinars only) and kept on file for reference.

    If you have difficulty submitting a presentation, please contact Cara Stan at mdds@mddsdentist.com for assistance.

    Speaker/Course Submission

    Speaker Contact Information

    Speaker Name(Required)
    DDS, PhD, RDH, etc.
    If yes, which ones?
    For additional speakers only.
    For additional speakers only.

    Course Information

    Please enter a number from 0.5 to 20.
    Please indicate your target audience.(Required)

    Sponsors

    Please list any companies that may sponsor your course (including your own organization):

    Honorarium

    Do you require an honorarium?(Required)
    *Only submissions with requested amounts will be considered. If no fee is required, please indicate with: n/a.

    Disclosure of Relevant Financial Relationships and Conflict of Interest

    Conflicts of Interest: ADA CERP considers that a conflict of interest may exist when an individual has an opportunity to affect the content of continuing dental education activities regarding products or services of a commercial interest with which they have a financial relationship.
    Disclosure check one below and complete as appropriate.(Required)

    Financial Relationships

    Having an interest in or an affiliation with a corporate organization does not necessarily prevent you from making a presentation, but the relationship must be made known to the audience. Failure to disclose or a false disclosure will require MDDS to remove you from the program and identify a replacement for your participation.
    (Employee, Full or Part-time; Grant/Research Support; Consultant; Stock Shareholder; Honorarium; Other financial interest or material support; owner/part-owner)

    Uploads

    Drop files here or
    Accepted file types: jpg, jpeg, png, Max. file size: 256 MB.
      Accepted file types: pdf, Max. file size: 256 MB.

      Disclaimers/Consent

      Confirmation(Required)
      Confirmation(Required)
      Consent