Click and download each form, complete the form by entering information requested in each form, then print, do this for all forms, sign all forms, scan and email the completed forms to us or mail to our office (address at bottom of this page). Complete these in the order of priority.
Number 1. Download & Complete the registration form, sign, mail or email back to email@example.com – Registration Remedial Form This form to be received before theory is started – online or live.
Number 2. Read, sign, & email course instructions back to us – Remedial Course Instructions
Number 3. Send an email to request payment plan, if you have not done so.
Number 4. Complete your payment – half payment or full balance – PAY BALANCE HERE – $1380.00
After Numbers 1 to 4 are completed, we will send you information to complete clinical requirements – immunizations and background checks.
Required: immunization records – Physical, HEP B, MMR, Varicella titers, TB Screening.
Others: Background Check, Professional Liability insurance-on campus, Driver’s License, SS Card, proof of health insurance, AHA BLS CPR. Drug testing – info will be provided one month before clinical start date.
1. Rophem Polo Shirt for clinical – $20.00 ($25 for 2XL) on Black scrub pants.
2. Liability Insurance – $20.00 (payable by cash on campus/$23 if you pay by card online)
3. Background check for out of Florida Students – $35.00
4. Remedial Book, Comprehensive Content review – $90.00 (OPTIONAL, online copy available to all)
Be sure to read and be familiar will all Remedial Theory and Clinical Policies.
Rophem Nursing Academy
3530 1st Ave North, Suite 201
St Petersburg, FL. 33713.
To your Success!