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Long Term Care Learning Action Network (LTC LAN)
Age-Friendly Health Systems (AFHS)
Mentation, What Matters, Mobility & Medications Modules
Attendee Information
*
1.
Please complete the information below
(Required.)
Name
*
Title
*
Organization/Facility
*
Work Zip Code
Email Address
*
Phone Number
*
*
2.
Please indicate your profession
(Required.)
Family Caregiver
Administrator/Executive Leadership
Behavioral Health
Certified Nursing Assistant (CNA)
Dentistry
Medicine
Nursing (RN/LPN)
Nurse Practitioner (NP)
Occupational Therapy
Physical Therapy
Physician Assistant (PA)
Public Health
Recreational Therapy
Social Work
Speech/Language Pathology
Other (please specify)
*
3.
I attest that I have completed all eight (8) trainings listed in the four (4) AFHS elements of Mentation, What Matters, Mobility & Medication
(Required.)
Yes
No
*
4.
Please indicate which continuing education certificate you would like:
(Required.)
NASW (Social Workers -
valid for on-demand content through 06/30/2026)
I don't need a certificate
