Registration 68H Med Aide – Fresh Start Healthcare

68 Hour Medication Aide Registration

Full Name

Phone Number

Employer

Class Registration (Pick Correct Date)

Questions or Comments

Photo ID/ Credential Requirements

By checking this, you understand that in order to receive course access, you must FIRST upload your Photo ID and/or required credentials to our office.

You can submit an email to admin@cpr-bofa.com with the SUBJECT: PICTURE ID (w/class name)

Alternatively you may fax a copy to our office at (804)559-4797.

***YOUR CERTIFICATE WILL NOT BE PROCESSED WITHOUT RECEIPT OF YOUR PICTURE IDENTIFICATION***

Refund Policy

By checking here you acknowledge the class refund policy.

Phone Calls & Emails

By checking here, you agree to receive a phone call and/or email to verify the information entered on the registration form within 2 business days