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Education - ACLS/PALS

Education - ACLS/PALS

ACLS/PALS Registration

These courses will be held in the DV Richardson Conference Room at Greater Regional Medical Center, 1700 West Townline Street, Creston, IA 50801.

For more information contact amyr@greaterregional.org.

Please fill out this form to register for the class you will be attending.

required = Required Field
 
 

ACLS/PALS PROVIDER COURSE
$150.00 Refundable deposit for participants

September 18 & 19, 2013 (PALS)
October 16 & 17, 2013 (ACLS)
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February 19 & 20, 2014 (PALS)
March 19 & 20, 2014 (ACLS)
September 17 & 18, 2014 (ACLS)
October 15 & 16, 2014 (PALS)

ACLS/PALS RECERTIFCATION COURSE
$75 Refundable deposit for participants
 
September 19, 2013 (PALS)
October 17, 2013 (ACLS)
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February 20, 2014 (PALS)
March 20, 2014 (ACLS)
September 18, 2014 (ACLS)
October 16, 2014 (PALS)

required First Name:
required Last Name:
required Street Address:    
   
required City: required State: required Zip Code:
required Home Phone Number: xxx-xxx-xxxx    
   
required Email Address:
requiredLicense # (Enter N/A if # not applicable):
requiredAre you a Greater Regional Medical Center Employee? Yes No