Enroll
Certificate Program
Enrollment Form (below)
Printer-Friendly Version
Certificate Programs Enrollment Form,
follow this link
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Applicant Name |
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Address |
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City, State, Zip |
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Phone |
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Email Address |
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Date of Birth |
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Social Security Number |
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Course # |
Course
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Quantity |
Tuition & Books |
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Medical
Terminology Books |
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$495
$120 |
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Books |
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$495
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Essentials of Disease Processes Books |
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$495
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Pharmacology for Health Professionals Books |
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$495
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Outpatient Coding and Billing – CPT/HCPCS, including CCA preparation;
medical billing procedures Books |
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$495
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Diagnostic Coding and Billing for Physician Services,
ICD-9-CM, including
CCS-P preparation; medical billing procedures Books |
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$495
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Inpatient Coding, diagnoses and procedures,
including CCS preparation Books |
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$495
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COD108 |
12-week Health Care Information Management Internship in medical coding,
billing, or other related health care setting |
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$495 |
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Coding books |
ICD-9-CM Volumes 1, 2, 3 (current year)
CPT (current year)
HCPCS (current year) |
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$80
$75
$75 |
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Total
(free shipping!) |
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Tuition Agreement: All tuition and fees paid by the
applicant shall be refunded if the applicant is rejected by
the school before enrollment.
An application fee of not more than $25.00 may be
retained by the school if the application is denied.
All tuition and fees paid by the applicant shall be
refunded if requested within three business days after
signing a contract with the school.
All refunds shall be returned in 30 days.
Certificate and transcript are awarded upon
successful completion of each course. Certificate and
transcript are also awarded upon successful completion of
the Health Information Coding Certificate Program.
Allowable completion time for each course: 18 weeks
from course start date. Allowable completion time for
Health Information Coding Certificate Program: Two years
from date of enrollment in first course.
No payment plan is available for the Health
Information Coding Certificate Program.
Complete the courses in order of your choice and pay
for each course separately. |
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here acknowledges that I have read and understood the tuition agreement above |
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Please mail enrollment form to: Central Business School PO Box 1081 Marquette, MI 49855 |
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NOTICE OF CANCELLATION
(Enter date of transaction)
(Date)
You
may cancel this transaction, without penalty or obligation,
within 3 business days from the above date.
To cancel this transaction, mail or deliver a signed
and dated copy of this cancellation notice or any other
written notice.
I hereby cancel this transaction:
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