Register for a CALS Provider Course by completing the online registration form located mid-page or one of the forms below. Before registering and paying for your course, please read the cancellation policy.

Payment options....

  • Check: Make checks payable to "CALS Program" and mail to Paula Nelson, 300 Burning Tree Drive, Georgetown, TX 78628.
  • Credit card: Call the CALS Program at (612) 624-7123 with your credit card information

Materials will not be sent until payment is received.

Fill out form completely. If the "submit" button does not work, please contact the CALS Program and Paula will register you.
Name*
Address*
City/State*
Zip*
Email Address*
Course
Please tell us with what hospital/clinic are you affiliated or if none, what is your current affiliation?
Hospital Affiliation*
How did you hear about CALS and what interested you in taking the Provider Course?
Payment Method

CALS accepts the following payment methods:
check or credit card (VISA/Mastercard only). If paying by credit card, please contact Katharine at (800) 913-6409. She will submit your credit card information for processing. Payment must be received before course materials will be sent.
How will you be paying for the course?*
Which format of the CALs manual do you wish to receive?*
In what state are you licensed?
Provider Type*

"Ctrl-Click" Selects Multiple
Comments:
Lunch is provided. Please indicate a need for a special meal here.
Name of course contact if someone other than the attendee:
Phone Number*
Submit
*Required
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