FREE! Combined ITLS Provider Course

June 22 & 23, 2023

International Trauma Life Support Provider Course

This course is sponsored by GEMSA, the Ga Trauma Commission, and Columbus Technical College

Site:  Columbus Technical College

928 Manchester Expressway

Wright Health Science Building

Columbus, GA 31904

Please text or call Paula Carter @ 7063929636 if you have any questions. Please email registration form to pcarter@columbustech.edu

We will lend you a book that must be returned at the completion of the course.  ITLS may be used for 16 hours of CE for the GA OEMS or National Registry.

Registration Deadline: June 15 ,2023

Name __________________________________________________________________

Credentials (circle all that apply) MD   RN   EMT-P    CT    EMTI   AEMT  Other_____

Home Address ___________________________________________________________

City _______________________State ______________Zip_______________________

Phone Number____________________________email  address____________________

Level of Certification_______________________State license number ______________

State license expiration date___________NREMT #____________ Exp. Date ________ Place of Employment_________________­­­­­­­­­­­­­­­­_____________________________________