COURSE ATTENDANCE VERIFICATION

Participant's Name: Jacqueline Watts

State and License #: MD

Participant AGD ID#: NA

Course: Creating Dental Assistant Training Manuals with Dr. Anissa Holmes

SPEAKERS: Dr. Anissa Holmes

Educational Method: Self Study

CE Hours: 1

Educational Type: Self Study

Course Date: October 10, 2025

AGD Code:

550 Practice Management and Human Relations

Verification Code: DA105

Authorized Signature:

PARTICIPANTS:

Please retain this document for your records. Continuing Education Credits issued
may not apply towards license renewal in all states/provinces. It is the responsibility
of each participant to verify the requirements of his/her state/provincial licensing board(s)
and to self-report their continuing education hours earned.

Keep this form for your records.

AGD Members: Dentalflix will submit attendance verification to the AGD on your behalf.
Please allow at least 30 days for documentation of participation to be added to your transcript