Get Foot And Ankle Recertification Order Form - Hubspot

Filling out the Foot And Ankle Recertification Order Form online is a straightforward process that ensures your organization meets the necessary recertification requirements. This guide provides clear and supportive instructions to make the process as smooth as possible.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the billing information section. This includes your organization's name, tax exempt ID if applicable, and the primary contact's details such as name, street address, city, state, zip code, phone number, and email address.
3. Review the recertification program details provided in the form. Ensure to understand that the program includes 8 weeks of access to the CLASS Video Library, practice clips, and the reliability test. It is important to note the testing requirements and fees.
4. Enter the participant's information. Provide the name, email address, and grade level for each participant who requires recertification.
5. Calculate the total cost for recertification based on the number of observers or trainers being certified. The fees are $100 for observers and $275 for trainers.
6. Choose your payment method. Indicate whether you are paying by purchase order or credit card. If using a credit card, input the cardholder’s name, credit card number, expiration date, security code, and the phone number of the cardholder.
7. Double-check all entered information for accuracy to avoid any delays in processing your order.
8. Once all sections are complete, save your changes. You can download, print, or share the form as needed.

Complete your Foot And Ankle Recertification Order Form online today!