-Tobey Campus
 
Be sure to check: Open Course Dates and Course Credits
Prefix: Mr Ms
First Name:
Last Name:
Suffix: MD OD CNM RN
Title:
E-Mail Address:

Affiliation: (Choose all that apply)and Enter Name
Simulation Center:
Hospital:                  
Other:             

Address 1:
Address 2:
City:    
State: 
Zip Code:
Country:
Telephone Number:
Course Date: (Choose One) Please do not sign up for L&DCRM - 2 Unless you have completed L&DCRM - 1

Please Enter any other information you feel would help us in
setting up your Course;

The Fee for the L & D Course is;
CRICO Insured Obstetricians: $950,
Non-CRICO Insured Obstetricians: $1250
Non- CRICO Insured Anesthesiologists: $1250
Certified Nurse Midwives: $300
Obstetrical nurses: $150

Enrollment and cancellation policy:
Tuition will be due two weeks after receiving your acceptance. We would appreciate you reconfiming your intention to attend by reply email at this time. When a class fills up, we start a waiting list. If you must cancel and another candidate can fill your seat, we will refund your tuition, less $100 fo administration and processing. If we cannot fill your seat, we will refund half your tuition, less $100 fo administration and processing.

Make Check or Money order payable to the "Center for Medical Simulation"
Send to:
Sandra Slarsky
Center for Medical Simulation
65 Landsdowne St.
Cambridge, MA 02139