Pediatric Fundamental Critical Care Support

Pediatric Fundamental Critical Care Support
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Attendee Type*
Role*
Number of Years in Current Role*
Have you previously taken Pediatric Advanced Life Support (PALS)?*

YesNo
Have you previously taken Advanced Cardiovascular Life Support (ACLS)?*

YesNo
Have you previously taken Advanced Trauma Life Support (ATLS)?*

YesNo
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone*
Please enter a valid phone number.
List Food Allergies/Dietary Restrictions: (if applicable)
Upload a Picture of Your COVID Vaccination Card*

Cancelof
Once you click the Submit button below you will be taken to an online credit card for the course fee. You will need to enter the course fee that is applicable to you.
- External Learners (Outside Texas Children's Hospital / Baylor College of Medicine): $300
- Texas Children's Hospital Employees and Baylor College of Medicine Employees (Outside of Section of Critical Care): $150
- Baylor College of Medicine Section of Critical Care: Cost Covered by Section (Registration still required) - close out the webpage, do not need to fill out the credit card form.
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