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The North Carolina Respiratory Care Board

Continuing Education Approval Request Form

CE Information

Name of Program:
Number of Hours:
Location of Program:
Contact:
Initial Date of Program:
Provider of Program:
Method of Presentation:
All approved continuing education programs should be open to any licensed RCP that is interested in completing the program.
Category
Speaker Name(s):
Speaker's Credentials
CE Activity Coordinator:
Firm:
Date:
Phone Number:
Email:
Description of the program:
Outline of the program:
The target audience is:
(do not include the time for for breaks and meals)
Objectives of the lectures: After completion of the CE the individual will be able to.