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Health Entrance Forms

The following information and form contain the steps to begin enrollment in the CNA, CMA and HHA health classes.  Class size is limited to 10 students per class.

Health Information Letter

This letter contains class enrollment information including payment options for CNA, CMA, CMA Recertification , and HHA classes.

Entrance Form

Return this form with payment to start enrollment in the class.

Mail this form to:

Coffeyville Community College
Columbus Technical Campus
509 W Elm
Columbus, KS  66725