ACLS Course - Direct Funding Registration

ACLS Provider Course

University of Toronto Residents
Incoming PGY1 Residents, who are listed by the University of Toronto as eligible for direct funding should complete this form. All submissions will be verified.

If you are not an incoming PGY1 Resident, you are required to submit payment at the time of registration. Please exit this form, and contact conferences@nygh.on.ca to find out how to register.
I understand if I do not meet the eligibility for U of T funding for this course, or I cancel without 30 days notice, or fail to attend, I am responsible for the course fee of 375.00 + applicable taxes. *

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Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail *
Phone Number

Area Code Phone Number
BLS Certificate #
Expiry Date

Month Day Year
Date
Choose the course you would like to register in.

September 19 & 20, 2022 November 21 & 22, 2022 February 6 & 7, 2023 April 24 & 25, 2023 June 3 & 4, 2023
BLS is a prerequisite of this course. Please email conferences@nygh.on.ca if you would like more information on a BLS course at NYGH.
The cost of the ACLS Manual and ECC Handbook are not covered by the University funding and are required for the course. You can purchase them by following the link below or ebooks can be purchased through the Heart and Stroke Foundation.

ACLS Manuals
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