All received forms will be granted class entry on a first come first serve basis. Current enrollment for RTTDC is a max class size of 30 participants. Registrants will be notified by email and phone of enrollment confirmation. Registrants are expected to attend all of the courses to get credits.

If you have any questions or concerns regarding this course, contact Angie Reed, Trauma Program Manager
at (606) 218-6334 angie.reed@pikevillehospital.org or FAX: (606) 218-4791

Payment

Accepted Cards

Credit card number

Exp Month/Year

JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember / 2024202520262027202820292030203120322033203420352036

CVV (3-4 digit verification number on card)