AHA Textbook Request Form - Huntington Hospital Employees & Affiliated Physicians Only

PLEASE NOTE:Textbooks will be checked out to you but sent to your manager's attention. Please pickup your books from your manager.
Name *
Email *
1. 6-digit Employee ID: *
2. Please register now for a Library Card, if you have not previously registered.
No selections.
3. Name of Class(es) *
BLS
ACLS
PALS
NRP
4. Date of Class(es) *
5. Your Manager's First Name (required): *
6. Your Manager's Last Name (required): *
7. Please note: Textbooks will be checked out to you but sent to your manager's attention. Please pick up your books from your manager. *
I understand
8. Your Department (where textbook will be sent) *
9. Your extension or phone (where a message can be left) *