Thank you for your interest in taking a BLS, ACLS and PALS class at North Ottawa Community Health System. Please fill out the form below and also indicate what class you are interested in attending. CLICK HERE FOR THE 2019 SCHEDULE. If you have any questions, please contact CHRISTA FOLKERT at 616.847.5671 or CFOLKERT@NOCH.ORG . Thank you.

Remaining 2018 BLS classes:

December 5, 5-8 pm

December 19, 9-12

BLS, ACLS, PALS & NRP information required:

Name:

Your Contact Phone Number:

Your Zip Code:

Your Email Address:

Your Manager's Name:

Are you are current NOCHS employee?

Status:

If so, what department (e.g. ICU, ED, etc.)?

What class are you interested in taking?

Please indicate the date and time you would like to attend for your class:

Do you hold current certification in this course?

    If NO, how long has your certification been expired?

Would you like to purchase a new book (BLS-$15,  ACLS/PAL/PEARS-$40) or rent one for free? 

 

 

ACLS/PALS/PEARS, information required:

Is this course required for your current position?

What current licensure do you hold?

If you do not see your licensure in the drop down box, please indicate here:  

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