Miami County EMS

PHTLS Registration Form
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EMS

PHTLS Registration

Name:
Mailing Address:
Phone Number:
E-mail:
Curent level of Certification: (EMT/EMT-B, EMT-I/D, MICT, Other)
Agency Affiliation:
  

Please remit payment to:
 
Miami County EMS
PO Box 536
Paola, KS 66071
 
Memo:  PHTLS class

Miami County EMS--32765 Clover Dr, Paola, KS 66071--(913)294-5010

Miami County, KS Official Website