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Employee PEARS Registration Form 


Are you an Employee?
If YES, are you a Cornerstone, NCBH, School of Medicine, Wilkes Regional, 
Community Physicians, or Travel Nurse Employee?
Date to Attend  
Last Name  
First Name  
Middle Initial  
Employee ID  
Credentials (MD, RN, etc)  
Phone Number  
Department Name  
If an Employee, Manager's Name. (First and Last)  
E-mail Address  
We will notify you of your acceptance into the class through the email address you provided in this registration form.



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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