CEU Request Form A Continuing Education Certificate will be emailed to the student upon the verification of their course completion. The amount of CE units given to a student is dependent upon the course completed. CEU Request Form Student Name* First Last Email Address* Phone*Select One*DDSDMDRDARDHRNLVNRTEMSMDPhysical TherapistLicense#*Type of Course*ACLSPALSBLSPEARSType of Course*ACLSPALSPEARSType of Course*ACLSPALSPEARSType of Course*ACLSBLSCourse Location*Course Date* Date Format: MM slash DD slash YYYY CEU Request Form Price: $3.00 Total $0.00 Add to cart Need Help? Contact Us Leave Feedback Contact Us Leave Feedback SKU: CEU Category: ceu