Beginning Jan 2025, Phlebotomy will be offered as a hybrid course

Fill Out and the Registration Form Below - Get Started Today!

Self-Study Phlebotomy Course

Online Self-Study + 18 hours hands-on skills lab

Phlebotomy Registration - Hybrid

Registration packet for Phlebotomy - Hybrid Program

Phlebotomy Registration Form

Student Name(Required)

First Middle Last

Additional Last Names:

Last

Please list all additional last names used (required for the criminal background check)

Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone Number:(Required)

Best number for us to reach you

Email Address:(Required)

Enter Email Confirm Email

Pre-requisites for the course:

1.) Must be at least 18 years of age at the time of enrollment. 2.) Must provide proof of high school graduation or GED records. 3.) Must be able to pass a criminal background check.

Date of Birth(Required)

Required as a course pre-requisite and for the criminal background check.

Gender:(Required)

Male

Female

Required for the criminal background check

Upload Official High School Transcript or GED

Drop files here or

Max. file size: 100 MB.

Select your Course Start Date:(Required)

Start Your Phlebotomy Training Today!

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