Order Confirmation Registration | Pomphrey Consulting

Registration Form

The information below is critical. All student information, log ins and notices are sent via email only.

All programs and/or classes have associated continuing education contact hours.
A contact hour is defined as sixty minutes of an organized learning activity, which is either a didactic or clinical experience.

Institution Information

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Hospital/Institution Name *

Hospital/Institution City & State *

Manager's Name *

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Manager's Email Address *

Additional Attendee Information

Month You Plan to Attend *

Name *

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Work Email Address *

Job Title *

Are you a nurse? *

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Name *

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Work Email Address *

Job Title *

Are you a nurse? *

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Name *

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Last

Work Email Address *

Job Title *

Are you a nurse? *

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Pomphrey Consulting Training Program Confidentiality Code

I have registered and paid for the Pomphrey Consulting Training Program. As such I am entitled to all course materials. I will not give nor receive unauthorized aid in the completion of this course work, nor distribute any of the course materials.

By typing my full name as my signature, I acknowledge that I have read and agree to the Pomphrey Consulting Training Program Confidentiality Code. *

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You must complete the registration process and submit payment by your preferred course's registration deadline in order to secure a spot and ensure receipt of your course materials. You will receive a welcome email within 48 hours of receiving your registration.

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Don't just take our word for it. Our clients have something to say...

“I came in to this hospital and trauma program late in the game after much of the work had already been done by the Pomphrey consulting team. Under Michelle’s guidance, this team was able to diligently work to meet our needs in preparing for Trauma verification survey. I feel that this team’s work is a direct reflection of the success of our trauma verification. Michelle is a consummate professional and she knows the formula to helping other trauma programs succeed. I was impressed with her background and knowledge and felt comfortable putting our delicate program in her hands. I have already recommended her services to my colleagues.

-Jennifer Wobig, RN, BSN, Trauma Program Manager, Cottage Health System, Santa Barbara, CA

Continuing Education Registration

Registration Form

Institution Information

Additional Attendee Information

Pomphrey Consulting Training Program Confidentiality Code

Don't just take our word for it. Our clients have something to say...

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