FULL NAME
DATE
ADDRESS
CITY
STATE
PHONE (HOME)
PHONE (WORK)
PHONE (CELL)
PAYMENT
CREDIT CARD #
EXP MM/YY
ZIP
On-Line Education Request
EMAIL
SHIPPING (If Different than Address)
FAX:
BUSINESS NAME/ EMPLOYER
Educational Materials
Home Study Course – Level 1 - “Laboratory Values and Associated Physical Assessment for monitoring of Drug Therapy in Long Term Care Patients”
Written by Dr. Jim Cooper and Allison Burfield, RN, MSN (Includes 15 CEU’s)
$180.00
Other: Please specify.
Mastercard
Visa
American Expression
