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R&l hEALTHCARE pHLEBOTOMY AND CNA TRAINING SCHOOL, LLC

First Name

Last Name

Date of Birth

Email Address

Phone

Program Applying For

Program Start Date

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NON-REFUNDABLE DEPOSIT - $100.00

CNA NO PAYMENT PLAN OPTION - $450.00

PHLEBOTOMY NO PAYMENT PLAN OPTION - $600.00

CLINICAL MEDICAL ASSISTANT NO PAYMENT PLAN OPTION - $650.00

MEDICAL BILLING/CODING - $650.00

Welcome to R&L Healthcare. Thanks for submitting!

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First Name

Last Name

Date of Birth

Email Address

Phone

Address

Program Start Date

Program Applying For

Select an item ($) *

NON-REFUNDABLE DEPOSIT - $100.00

CNA NO PAYMENT PLAN OPTION - $450.00

PHLEBOTOMY NO PAYMENT PLAN OPTION - $600.00

CLINICAL MEDICAL ASSISTANT NO PAYMENT PLAN OPTION - $650.00

MEDICAL BILLING/CODING - $650.00

Upload Driver's License

Upload supported file (Max 15MB)

Upload Social Security Card

Upload supported file (Max 15MB)

Welcome to R&L Healthcare. Thanks for submitting!

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