Medical Coding Course Registration

Medical Coding Course Registration

Please fill out the form below to register for the medical coding course.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Current Employment Status*
Interest in Medical Coding*
Preferred Class Start Date*

January 10 - April 4, 2026 @ 9am-11am PSTJanuary 14 - April 8, 2026 @ 6pm-8pm PST
Verification to Confirm You're Human*
Should be Empty: