DATE / TIMES: Friday, May 4, 2018 - 5:00pm - 10:00pm and Saturday, May 5, 2018 - 9:00am - 6:00pm LOCATION: UHS Training Facility - 2nd Floor Airport Corporate Park 33 Lewis Road Binghamton, NY 13905 TARGET AUDIENCE: EMTs, AEMTs, Paramedics, Athletic Trainers, Registered Nurses, School Nurses, Team Physicians, Nurse Practitioners, Physician Assistants & Physicians working in Trauma Care. COST: $150.00 (Includes textbook, course materials and lunch) * Check is required at the time of registration. ** ENTIRE REGISTRATION FEE WILL BE RETURNED to students upon their successful completion of the course. FACULTY: NAEMT Affiliate and Training Center Faculty Pre-Hospital Trauma Life Support (PHTLS) Combined Provider Course PHTLS is the world’s premier prehospital trauma education course. It was developed in cooperation with the American College of Surgeons to promote critical thinking in addressing the multi-system trauma patient and provides the latest evidence-based treatment practices. UHS Emergency & Trauma Services, 33-57 Harrison Street, Johnson City, NY 13790 •• (607)763-6311 William J. Loller, RN, AEMT-CC, CLNC Program Manager, EMS/Medevac Operations Office: 607-763-6311 [email protected] Register by mailing this form with payment to: Lorin Missavage c/o UHS Emergency & Trauma Services 33-57 Harrison Street Johnson City, NY 13790 REGISTRATION (Please Print Legibly): Name Title/Profession/Position Organization/Affiliation Unit / Department Address City State Zip Phone eMail ** CALL (607) 763-6311 to schedule your immediate textbook pick up. For Additional Course Information For Registration Information Lorin Missavage Office: 607-763-6311 [email protected] Seating is limited, register early.