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ATLS

ADVANCED TRAUMA LIFE SUPPORT COURSE
Academic Centre, The James Cook University Hospital, Marton Road, Middlesbrough, TS4 3BW




Wednesday 17th to Friday 19th June 2009

COST:
£525.00 per candidate which includes all course materials, refreshments/catering and a candidate meal.

TO APPLY:
Please complete and return the application form below.  You will be contacted 6 weeks prior to the course when the Course Director has short-listed applications only when a place has been offered will the £525 course fee be due.
TitleMrMrsProfDrOther
First name
Last name
Job title
GenderMaleFemale
Department and place of work
Postcode
Work telephone and extension
Bleep
Correspondence address (all paperwork will be sent to this address)
Postcode
GMC Number
Home telephone
Mobile
Email address
If you have previously attended an ATLS course please indicate month and year
Please give experience in management of the multiple-injured patient
In a six month period, how many times are you likely to use your skills?
Have you had any previous training in basic trauma life supportYesNo
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