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Welcome! Complete this form and return to the webpage for study resources- payment arrangements must be made before acceptance into a course.
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Email
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Your email
first and last name as it will appear on your new certificate:
*
Your answer
personal phone #
*
Your answer
course option:
*
8-hour recertification
24-hour course- for residential group home
40-hour course- for assisted living
RN med pass for 40-hour course
diabetes training/ Epi Pen
Breathing Apparatus
RN Consult
Other:
Choose a class/testing location
*
South Portland
Lewiston
Are you the student or the employer?
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student
employer
Where do you work?
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Your answer
Payment arrangements must be made
before acceptance into a class
- be sure to email us to verify payment arrangements at info@prohealthtrain.com:
*
Venmo- text us at (207) 317-1649
Cash App- text us at (207) 317-1649
employer- employer must email us for verification at
info@prohealthtrain.com
grant funding- payor must email us for verification at
info@prohealthtrain.com
Payor name:
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Your answer
payor email
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Your answer
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