Request a HIT/Medical Coding/Medical Assistant Advising Appointment

Request a HIT/Medical Coding/Medical Assistant Advising Appointment
Student Name *
Student ID#
Phone Number *
Email *
example@example.com
What is your major? *

Health Information Technology Medical Coding Medical Assistant I am not sure yet
Which semester(s) are you planning to attend (choose all that apply)? *

Fall Fall Flex Winter Term Spring Spring Flex May Term Summer I Summer II
Student Type: *

Future Panola Student Just Applied Currently Enrolled Prior Panola Student
Appointment Type (choose all that apply): *

General advising Registration Change of major Drop/add a course
Please verify that you are human *
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