Please fill out the form below to purchase your certification renewal. All fields are required. If a field does not apply, be sure to enter “na”. Name Address City State Zip Phone Number Email Have you worked in the field with in the last 24 months? Have you taken any continuing education in the field in the last 24 months? Current Employer Certification Number I would like to register for the following programs: Patient Care Technician: $199 Medical Assistant: $199 Phlebotomy Technician: $199 EKG Technician: $199 Paramedical Exam Technician: $199 Medical Billing & Coding $199 Medical Laboratory Assistant $199 Medical Administrative Assistant: $199
Please fill out the form below to purchase your certification renewal.
All fields are required. If a field does not apply, be sure to enter “na”.
Name
Address
City
State
Zip
Phone Number
Email
Have you worked in the field with in the last 24 months? Have you taken any continuing education in the field in the last 24 months?
Current Employer
Certification Number
I would like to register for the following programs: Patient Care Technician: $199 Medical Assistant: $199 Phlebotomy Technician: $199 EKG Technician: $199 Paramedical Exam Technician: $199 Medical Billing & Coding $199 Medical Laboratory Assistant $199 Medical Administrative Assistant: $199
