Paramedic Refresher Hiller 2014 (PDF)

NREMT 48-Hour

This program will include the required
Transition program for the National Registry

Course Location:
Hiller Volunteer Fire Company
911 First Street
Hiller, PA 15444
Scan the QR code with
your smartphone’s
barcode scanner to go to
the UPMC Prehospital
Care registration page.

2014 Course Dates Wednesdays & Fridays:
February: 19th, 21st, 26th, 28th
March: 5th, 7th, 12th
Course times:
8:30 a.m. -4:30 p.m. each day

Registration Form
To register by fax, fill out & fax to: (412) 647-1111
ALL INFORMATION MUST BE PROVIDED FOR CON ED
PROCESSING (Please print neatly)

Payment is due at the time of registration
UPMC / CMC Command - $60.00
Non UPMC Command - $120.00

Name: ________________________________________________
Service: ______________________________________________

Curriculum includes:
- AMLS Provider
- ACLS Renewal
- EPC Provider
- ITLS Renewal
- National Registry Transition Program

Phone: _______________________________________________

Certification cards are available for an additional fee.
Please contact the office at 412-647-9077 Ex. 1 for additional details.

PA Certification Number: ________________ (6 digits)

Email Address: ________________________________________
Street Address: _________________________________________
City: ______________________ State: ______Zip:_____________

To make a credit card payment call
Jeanne Odenheimer at: 412-232-5855
If you are paying by way of check or
money order, please make payable to
UPMC and send to:
UPMC Prehospital Care
Forbes Tower, Suite 10018
200 Lothrop Street
Pittsburgh, PA 15213

Date of Birth: _____/_____/19____
Provider Level: EMT

EMT-P

PHRN

3 Ways to Register:
 Fax: (412) 647-1111
 http://prehospitalcare.upmc.com
 Call: 1-888-647-9077 Ext: 1

Questions? Call: 1-888-647-9077 ext: 1
Visit us online at: http://prehospitalcare.upmc.com