1. Registration for Webinar

Title: Autism and Mental Health: Part 1 of 2: Differential Diagnosis for Autism
Presenter:  Robert Cox, MA, PLPC, NCC
Date: Wednesday, October 19
Time: 3:00 CT/2:00 MT - 3:45 CT/2:45 MT or 4:30 CT/3:30 MT – 5:15 CT/4:15 MT
Location: Online, using Adobe Connect



REQUIRED INFORMATION
All questions requiring a response are marked with an asterisk (*)

Question Title

* 1. Contact Information

Question Title

* 2. Which state are you attending the webinar from?

T