CIC Prep Course - 2023 - Alabama Hospital Association

Register for Course

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AlaHA, in conjunction with the Alabama Regional Center for Infection Prevention, is offering a prep course for those planning to take the Certification in Infection Control (CIC) exam this year. The $75 registration includes an APIC CIC Study Guide, one in-person meeting, 8 virtual sessions, and access to online APIC Text.

Hospital:*

Name*

First Last

Occupation/Title*

Address (This is where your CIC Study Guidebook will be mailed. We cannot mail to P.O. boxes.)*

Phone:*

Email:*

2. Attendee Registration

Hospital:

Name

First Last

Occupation/Title

Address (This is where your CIC Study Guidebook will be mailed. We cannot mail to P.O. boxes.)

Phone:

3. Attendee Registration

Hospital:

Name

First Last

Occupation/Title

Address (This is where your CIC Study Guidebook will be mailed. We cannot mail to P.O. boxes.)

Phone:

4. Attendee Registration

Hospital:

Name

First Last

Occupation/Title

Address (This is where your CIC Study Guidebook will be mailed. We cannot mail to P.O. boxes.)

Phone:

5. Attendee Registration

Hospital:

Name ($75/registrant)

First Last

Occupation/Title

Address (This is where your CIC Study Guidebook will be mailed. We cannot mail to P.O. boxes.)

Phone:

Email:

Make Your Payment:

The cost for the course is $75 per registrant.

Payment Method:*

Pay by Check

Pay by Credit Card

Total payment amount. ($75 times the number of registrants)*

Paying by check:

Click the “Submit Form” button below to send your registration to AlaHA. Make your check payable to the Alabama Hospital Association and mail payment, along with a copy of the registration to: Alabama Hospital Association, 500 North East Blvd., Montgomery, Ala. 36117. Once you click “Submit Form,” a copy of the form can be printed for your records and to accompany the payment.

If you have multiple registrants from your hospital,

CIC Prep Course – 2023

Register for Course

2. Attendee Registration

3. Attendee Registration

4. Attendee Registration

5. Attendee Registration

Make Your Payment: