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 ATLS Course Registration Form

*Required Information

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The spelling of your name, as identified here, is how it will appear on the certificate of course completion.

Best number to reach you



   
   
   
   
   
   
10-digit fax number.

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(Family Practice, Int. Med, Emer., Surgery, Ortho, etc.)

   
   
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(Family Practice, Int. Med, Emer., Surgery, Ortho, etc.)

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Tulane University  Advanced Trauma Life Support, 1430 Tulane Ave. SL-22, New Orleans, LA 70112  ttei@tulane.edu