Northern Arizona POCUS Course - Generalist 2022
Thank you for your interest in Dr. Druschel and Remedy Direct Primary Care's ultrasound course!

Course described here - https://www.remedydpc.com/cme-offerings

You can confirm your course registration here. Payment can be done on the first day of the course and we will honor this form for your registration date. We will accept credit cards (Visa, MasterCard, American Express, JCB, Discover, Diners Club), check (payable to Remedy Direct Primary Care, LLC), cash, Venmo, PayPal, or Google Pay. You will receive an invoice by the end of the course.
Sign in to Google to save your progress. Learn more
Email *
Name (first and last) *
Phone Number *
Your attendant status *
Please select dates you want to register for: *
Required
Do you plan to attend in person or virtual only? *
Credit card number *
Credit card expiration date *
Credit card CVC security code *
Billing address (including zip code) *
I understand that I will be charged a deposit of $50 which is refundable if I cancel by emailing contact@remedydpc.com 30 days or more prior to the course start date. *
Do you have any questions for Dr. Druschel?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms