Certified Trainer Post Test

In order to begin step three, please complete the following registration form. All fields are required to register to take the Certified Trainer Post Test. Certification is valid for one year from certification date.

* Facility Name  

* First Name

* Last Name

* Title

* Facility Address Line 1


Facility Address Line 2

* City

* State

* Zip

* Facility Phone

* Facility E-mail

Does your facilty contain patients
with the following conditions:

  • Receiving peritoneal dialysis using dialysis solutions containing lcodextrin (e.g. Extraneal®, lcodial) that is metabolized to maltose,
  • Receiving injections or infusions of solutions containing galactose or maltose, including some human immunoglobulin preparations (e.g. Octagam®),
  • Undergoing xylose absorption testing,
  • Receiving intravenous solutions containing maltose as a substitute for glucose or as a means for patient hydration,
  • Any drugs, including any investigational drugs and those made by compounding pharmacies, that contain or metabolize to maltose, galactose, or xylose.

* Field Required

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