CP129 - Coronal Polishing Course

CP129 - Coronal Polishing Course Enrollment Form

CALL US : 650-417-8319
⚠️ Important Notice:

Please ensure that all the information entered is accurate and complete.
The certificate will be generated based on the data provided in this form.

Any corrections or changes after submission will incur an additional fee.
Student Full Name*

First NameLast Name
Date Of Birth*

MonthDayYear
Date
Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name*

First NameLast Name
Emergency Contact *
Please enter a valid phone number.Format: (000) 000-0000.
🦷 Coronal Polishing Course – 12 Hours Program

This course includes:
- ✅ Online Session – complete at your own pace before your on-site class
- ✅ On-Site Practical Session – 5 hour includes Exam + hands-on
After you submit this form, you will be redirected to our login page where you can create an account or log in to begin the online course.

* Please complete the online course before your on-site session date. *

During your in-person session, you will:
- ✍️ Take your written exam based on what you learn in the online session
- 🧪 And then you will have your practical exam
Please use the calendar below to select your On-Site Practical Date and Time. Each session lasts 5 Hours and space is limited.
Class Will be Only on one Sunday of the month 12PM to 5PM (Student is required to get their own patient (Friend or Family Member) for the last hour of their final Practical )

My Products*

Coronal Polishing Course (Deposit Only)

Non-Refundable

$175.00

Coronal Polishing Course (Full Payment)

50% Refundable

$350.00

Enter coupon

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

After clicking Submit, you will be automatically redirected to the iEducations login page. Use your account credentials to access your Online Course.

Please read below before you submit

Any Questions please fell free to CALL US : 650-417-8319
Accessing Your Coronal Polishing Course

Once your account is created and the registration form is submitted, you will be automatically redirected to the Coronal Polishing Course page.

There, you will log in using the credentials you just created to access your online session, which includes lecture videos and study materials.

You will also receive an email containing a direct link to the course for future access.

📩
Please remember to check your spam or junk folder if you don’t see the email in your inbox.

✅ Completion of the online session is mandatory before attending the on-site practical class.

❌ Failure to complete the online portion will result in cancellation of your on-site session.

On-Site Practical Session Details

Arrive at least 10 minutes early, wearing professional scrubs.

Bring a government-issued ID or a valid college ID.

Be prepared to settle any outstanding payments on arrival.

⛔ Please note: Arriving late by 10 minutes or more will result in cancellation of your session.

On-site Location:
970 W El Camino Real, Suite #3, Sunnyvale, CA 94087

On-Site Flow & Exams

The on-site session begins with a 15-minute review, followed by a written exam based on your online learning.

If you pass the written test, you will proceed to the hands-on training and final practical exam.

If you fail the written test, you will need to retake the online course and reschedule the practical session.

If you fail the practical exam, you will be given one additional attempt on the same day.

If you fail again, you will need to retake the entire course and make full payment.

Clinical Patient Requirements
Upload your CPR / BLS Certificate (If you can Not, then please bring the certificate to your class. Failure to do so will lead to cancellation of you class)

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Upload your Infection Control Certificate (If you can Not, then please bring the certificate to your class. Failure to do so will lead to cancellation of you class)

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CP129 - Coronal Polishing Course Enrollment Form

Payment Methods

Please read below before you submit

Accessing Your Coronal Polishing Course

On-Site Practical Session Details

On-Site Flow & Exams

Clinical Patient Requirements