PD Modules Online Registration Form


Personal Information

Items with an asterisk (*) are required.

  (Area code)   Telephone Number
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Other Information

* Please indicate the jurisdiction in which your are registered as an NP

* RN Registration Number

Course Registration Information

You will attend this course on-line. Once your payment is accepted an email will be sent to your email account you specified above indicating your access information to this course. Therefore please ensure that your email account is accurate and that emails sent from @athabascau.ca are NOT ending up in your spam folder.

The time required to complete this course is estimated to be 15-20 hours but you will have access to this course for 1 year after this course is available to you. Once you have successfully passed the course exam you will receive a certificate that you can print for your records. Course fee structure is below.

Course Fees

Please select course below

$169 CAN
Payment method
Credit card payment

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The personal information collected on this form will be used to process your request and is collected under the authority of section 33 © of the Alberta Freedom of Information and Protection of Privacy Act.