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Employee BLS Provider Registration Form


Are you a Cornerstone, Wilkes Regional, Travel Nurse,  
NCBH, WFUHS, or Community Physicians Employee?
Date to Attend Time to Attend
September 22, 2017       
September 25, 2017  
October 4, 2017  
October 16, 2017  
October 26, 2017  
October 30, 2017  
November 16, 2017  
November 20, 2017  
November 22, 2017  
November 29, 2017  
December 14, 2017  
December 18, 2017  
December 28, 2017  
Last Name
First Name
Middle Initial
Employee ID  
Credentials (MD, RN, etc)
Phone Number
Alternate Phone Number
Department Name
E-mail Address
We will notify you of your acceptance into the class
 through the email address you provided.


Quick Reference

Life Support Education
Kathy Nelson

Phone 336-716-2005
Fax 336-716-5927

Contact Kathy

Mikell White

Phone 336-716-2800
Fax 336-716-5927

Contact Mikell


3rd Floor South Building

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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.

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