A photo ID and your high school or GED diploma when you come to take the test. clinical training at ECHN lab facilities (weekdays 7 a.m.-3 p.m.) The Phlebotomy Textbook Third Edition (ISBN 9780803620575), Strasinger & DiLorenzo
THE SUM OF_____ FOR PHLEBOTOMY TRAINING CLASS INSTRUCTOR:_____ *YOU WILL RECEIVE THE RECEIPT WHEN YOU COME TO CLASS* Please return this 7:00-7:15 a.m. (photo ID required upon registration) Required Supplies: Please bring a Pen, Pencil & Highlighter with you to class.
Student ID @ Entered By Date _____/_____/_____ Phlebotomy cate in Phlebotomy can serve as a stepping stone to other training for any specialty of healthcare, especially phle
Step 4: Phlebotomy Training Program Information [See PROCEDURE BOOKLET page 19] If you are applying for examination under Routes 3 or 5, skip to Step 6. Route 1 If you id entf ca opur s) REVISED 7/12. 4 Step 5:Academic Education (Required)
LFS file ID number: _____ PLEASE NOTE: Official transcripts must be sent directly to the above address. Please allow at Name of Phlebotomy Training Program and Address City and State County From Month/Year To Month/Year Total Hours Attended
PHLEBOTOMY TRAINING PROGRAM PHYSICAL EXAMINATION Name _____ Ht._____ Wt. _____ Pulse _____ Resp Name_____ ID# _____ DOB: _____ TB Mantoux Test Date #1:_____ Read: _____ Neg ____ Pos _____mm Ind _____mm Test Date #2
Vernon College Century City Center Sheppard Learning Center Skills Training Center . 4400 Phlebotomy Packet Instructions (Vernon Campus) NAME: uniform & picture ID badge . A form must be signed in class regarding policies, procedures,
Phlebotomy Course Admission Requirements 1. High School Diploma, GED or College Transcripts 2. Driver’s License or State ID 3. Social Security Card 4. Physical Examination 5. you are not responsible for any cost associated with training including the cost of textbook and or supplies.
The Darton College Phlebotomy Program consists of two program courses (PHLE 1101 & PHLE 1102). drug screen and/or physical exam prior to training in their facility and is at student expense. Darton Student ID#_____ Email
Head, Adult Infectious Diseases Section Dept of Medicine and Infection Prevention and Control Program National Guard Health Affairs Training in phlebotomy All staff should be trained in phlebotomy, to prevent unnecessary risk of exposure to blood and
Attend a Phlebotomy Information SessionProgram offered every 3rd Wednesday of each month at 3:00 p.m., Health Science Center, Room Student ID: Email Address: _____ Name Last (print) First M.I. and/or Maiden Name . List any other names under
Participants of the program can expect substantial off-campus study in preparation for classroom training. The Basic Phlebotomy program is accredited by the State of California Department of Health Services. ID Intl. Handling Fee Check # CC Cnf# HSD HST GED CT M/O# Verified Verified Verified
A US birth certificate (or US VISA) and picture ID (or US passport) is required to in process clinical sites. 6. Name tag required for PLAB 1060 (white with black lettering: Full Name, Central Texas College, Notification of Phlebotomy Training .
ID badges issued by the clinical site must be worn and visible at all times while at the clinical site . 8 B. Attendance provide phlebotomy practicum training. However, site availability may change due to staffing or other issues.