Legent Video Completion Form *First Name *Last Name Credentials *Job Title/Dept *Email *Telephone *Date of Virtual Session *Time of Virtual Session *I have watched all the required videos prior to my session. Yes *Session Type BLS ACLS PALS *Facility Delray Beach Surgical Suites Legent ASC Medical Center Legent Hospital of El Paso Legent Hospital for Special Surgery Legent Institute for Specialized Surgery Legent Interventional Pain Center Legent North Houston Surgical Hospital Legent Orthopedic Hospital Legent Orthorpedic + Spine Legent Outpatient Surgery Austin Legent Outpatient Surgery Corpus Christi Legent Outpatient Surgery Frisco Legent Outpatient Surgery Singing Hills Legent Surgery Center Cypresswood Legent Westover Hills * = Required By submitting this form, you are attesting that you have watched all the required videos prior to your Virtual Skills Testing Session. The information in these videos will be used during you Virtual Session. Send
