Dental Sedation Immediate Life Support Courses at your own practice

Please complete the details below to apply for, or for more information about Dental Sedation Immediate Life Support courses at your own practice

If you wish to attend a scheduled course instead please go to: https://www.resusplustraining.com/dils-enquiry/

ResusPlus Training will keep any information you provide confidential and never pass it on to third parties.

Name*
First Last
Email*
Landline/Mobile Number (Please try to fill out a mobile number as we will text you for confirmation)*
Alternative Landline/Mobile Number
GDC Number
Job Title*
Practice address?*
What sedation do you provide?*
What age groups do you sedate?*
Do you require an ILS course with the basic or advanced paediatric component?*
- Basic Paediatric BLS & AED
- Advanced Paediatric assessment, BLS & AED
Approximate Number of ILS Attendees*
Do you want to include your non-sedation staff in the BLS/AED section of the course?*
- Yes
- No
- Don't know
If yes to above: Approximate number of non-sedation staff:
How did you hear about us?
Your practice/company name (if any):
Invoice to:
Once your course has been booked we will invoice you. No VAT will be charged. Please tell us whose name should appear on the invoice if not yours/your practice/company's
Please provide any extra information or requirements