BLS Update Registration Form 

NCBH/School of Medicine/WFBH Community Physicians Employee 

NOTE: Find the date you would like to attend on the left, and pick a time to attend that class on the right. Please choose only ONE date and time to attend.


 Date to Attend Time to Attend
February 13, 2015  
February 27, 2015    
March 4, 2015       
March 16, 2015  
March 31, 2015  
April 6, 2015       
April 17, 2015  
April 27, 2015  
May 1, 2015  
May 13, 2015  
May 29, 2015  
June 3, 2015       
June 17, 2015       
June 30, 2015  
July 6, 2015  
July 17, 2015  
July 31, 2015  
August 4, 2015  
August 14, 2015
August 31, 2015  

Are you an NCBH, School of Medicine, or
WFBH Community Physicians Employee?
*Note to ALL School of Medicine/Health Sciences
and WFBH Community Physicians Employees:
Please send a signed and completed authorization form to Life Support Education
BEFORE the scheduled day of class. This form must be completed by the
administrative person in your area and allows us to bill your department for the course.
This is a requirement to attend class. You can find this form on the Life Support Education
website under FORMS.
Last Name
First Name
Middle Initial
Employee ID
Credentials (MD, RN, etc)
Phone Number
Alternate Phone Number
Department Name
Department Number
E-mail Address
Re-Enter E-mail Address
We will notify you of your acceptance into the class through the e-mail address you provided.


Quick Reference

Life Support Education
Mikell White

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

Contact Mikell

Chelsea Hollifield

Phone 336-716-2888
Fax 336-716-5927

Contact Chelsea

3rd Floor South Building

Find a Doctor Ways to Give
USNWR 2013-2014Magnet Hospital RecognitionConsumer Choice2014 Best DoctorsJoint Commission Report

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.