Patient Model Application (March 5/6, 2026)

Name(Required)

First Last

Email(Required)

Phone Number(Required)

Are you attending the PDC?(Required)

Yes

What sort of practitioner are you?(Required)

What type of treatment are you interested in? (Check all that apply)(Required)

Aesthetic upper face

Therapeutic (bruxing, clenching, grinning, headache, migraine)

Please select which times you are available:(Required)

Thursday, March 5, 2026 ~11AM

Thursday, March 5, 2026 ~4PM

Friday, March 6, 2026 ~11AM

Friday, March 6, 2026 ~4PM

We’re selecting 4 live demo patients for Botox treatment performed by Dr. Roberts during the conference—featuring PTIFAT’s anatomical marking + injection templates. Apply for aesthetic or therapeutic treatment before: February 28, 2026

Event Details

Launch injectables & increase practice revenue

View Botox Courses

Connect

Practitioner Courses

Team Member Courses

Calendar

Jan 23, 2026

Vancouver, BC

Level 2 – Team Training for Botox®

Jan 23/24, 2026

Vancouver, BC

Level 2 - Basic Botox® Course

PTIFAT is an ADA CERP recognized provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers with continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours.