CPC Review Workshop

To Reinforce Competencies Tested on the CPC Exam





Name:_____________________________________________

Address:___________________________________________

City:____________________________State:____Zip:______

Home Tel:_____________________________________

Work Tel:_____________________________________

Fax:__________________________________________

Email address:__________________________________


EXPERIENCE

Employer:_____________________________________

Title:_________________________________________

Areas of Concern:____________________________________________________________________________

_____________________________________________________________________________________________


Call 562-430-6847 to reserve your place in the class.

Note that the -H and -P designations require additional hours.
Complete the registration form and mail with your check to:
Reimbursement Specialist
7002 Moody Street, Suite 215
La Palma, CA 90623
(562) 430-6847
(562) 430-6849 FAX
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