Consolidated
Learning ServicesConsolidated
Learning Services
7410 River Road; Fredericksburg, VA 22407
Pharmacology Course Enrollment Form
Please copy and paste this form into an email and send to info@learningsvc.com. There is a button at the end of the form to use Paypal and pay for this course. Materials will be sent to you when the enrollment form and payment is received.
Date: _________
Name: ________________________________
Address: ______________________________
City, State, Zip Code ____________________
Phone number where we may call you with any issues: ______________________
Email address which we will use to send assignments: _______________________
Do you hold any state licenses or state certifications? If so what state and type:
You must email this form to info@learningsvc.com or mail it to Consolidated Learning Services, 7410 River Road, Fredericksburg, VA 22407.
Please read the course policy thoroughly. You may pay for the course via Paypal
You may mail a money order to the address above, if you prefer. The course outline and first module and other instructions will be sent to you after payment is honored. There is no text required for this course, although it is strongly recommended that you purchase a current nursing drug guide.