Registration Form

Clinical Hyperbaric Training for Health Care Professionals

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MD

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COST for Hyperbaric Medicine Training for Health Care Professionals:

$1,000.00 — physician / dentist, nurses, hyperbaric technologists, other health professionals. This is the Face-to-face training or classroom training course.
$750.00 — nurses, hyperbaric technologists, other health professionals and active duty military for the on-line DVD training.

INSTITUTIONAL PAYMENTS: Checks can be sent at a later date. Please make checks payable to: OxyHeal University, P.O. Box 9005, La Jolla, CA 92038.

• A faxed registration or this electronic registration form with a valid credit card number will reserve a spot in the course upon confirmation. OxyHeal University Fax: 1-(702) 248-3920.

• HOTEL ACCOMMODATIONS: At receipt of registration for class room based education the student will receive a list of hotels in the area

Who will pay:

Contact Person:

Phone Number:

Payment by Mail

Hyperbaric Facility Safety Director Course
Enrollmment Fee: $500.00
Location: Las Vegas, Nevada

Fire Safety Course
Enrollmment Fee: $150.00
Location: Las Vegas, Nevada

Hyperbaric Medicine Training for Health Care Professionals
Enrollmment Fee: See above
Location: Las Vegas, Nevada

PVHO Acrylic Window Inspection Course
Enrollmment Fee: $150.00
Location: TBA

Cancellation Policy for class room based education:

If you need to cancel pre-paid training, refunds will be made as follows:

1. Fax to the attention of Barry Phillips at 1-(702) 248-3920, the cancellation request. (Phone cancellations are NOT valid for our refund policy.)

2. Make a note on your fax the name of the registrant, the name of the institution/organization, how the registration fee was paid, the date of the training course you are registered for, and the current day’s date.

3. If cancelled 14 days prior to course you will receive 50% of the registration fee, unless your place can be filled from any waiting list. If filled, we will return 100% of the registration fee, minus $50.00 for processing and a $35.00 charge-back fee. If cancelled within 14 days, no refund will be made unless your place can be filled from any waiting list. If filled, we will return 100% of the registration fee minus $50.00 for processing and a $35.00 charge-back.

4. If cancelled 21 days or more prior to course, you will receive full refund, minus a $50.00 processing fee and a $35.00 charge-back fee.

5. No shows are not eligible for a refund.


Cancellation Policy for computer based education:

If you need to cancel pre-paid training, refunds will be made as follows:

1. Fax to the attention of Barry Phillips at 1-(702) 248-3920, the cancellation request with a date that educational material will be mailed back to the university. (Phone cancellations are NOT valid for our refund policy.)

2. Once the unopened material has been received. We will return 100% of the registration fee, minus $35.00 for processing fee. (educational material that has been opened can not be returned)


Thank you for your interest in our Clinical Hyperbaric Training for Healthcare Professionals

Please contact me if you have further questions. We look forward to your attendance.

Sincerely,

Training Program Coordinator

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Once you have successfully filled out the form above, press the submit button below to complete your registration.