Continuing Education Registration

Continuing Education Registration

Registration for continuing education at Coffey County Hospital takes only a minute of your time. Please complete the form below. Submitting the form sends your registration directly to our education department.

Please refer back to the course offering information for payment instructions. Payment must be made prior to the beginning of the class. Coffey Health System employees must pay a $5 deposit, refundable upon arrival.

Course Title *

Course Date *

Your Name *

Email Address

Full Mailing Address *

Credentials *

Professional Licensure Number *

State Registered
KansasMissouriArkansas OklahomaOther

Daytime Telephone *

Evening Telephone *

Identity & Licensure Confirmation *
I understand that my name and professional licensure will be confirmed prior to entering the classroom.

Acknowledgement of Payment Options *
I understand that a $40 pre-registration fee must be paid prior to arrival. Anyone who has not paid in advance, must pay $50 at the door.

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New Events

CPR Class

When a heart attack occurs, minutes count. Could you help save a life? Coffey Health System offers a series of one-day CPR training events that are open to the public. There is no pre-requisite training.