Healthy Diabetes Plate 4.2018

Question Title

* 1. A Free 4-part Series for Type 2 Diabetics & Their Caregivers
Classes: April 4, April 11, April 18 & April 25
Time: 3 - 5 p.m.
Location: Southeastern Idaho Public Health, 1901 Alvin Ricken Dr., Pocatello, 83201

To register for the Healthy Diabetes Plate, please complete the following form. Information collected will be used for class purposes only and will not be shared. Thank you very much for your interest in the Healthy Diabetes Plate! If you have any questions or concerns, please contact Traci Lambson at tlambson@siph.idaho.gov.

Name *

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. If you have any additional questions, comments, or concerns, please input them below.