CRISM Addiction Rounds Webinar Registration

Webinar Registration

The CRISM Prairie Node will be hosting a series of webinars on the topic of substance use or non-substance related addictive behaviors. If you would like to be invited to upcoming webinars please complete the contact information below.

For more information on CRISM please refer to our website at crismprairies.ca or contact Denise at denise.adams@ualberta.ca

Question Title

1. First Name (Required.)

Question Title

2. Last Name

Question Title

3. Email address - this is essential since we will use this to send you webinar link, the evaluation and certificate of attendance. (Required.)

Question Title

4. What is your professional affiliation? (e.g. physician, nurse, pharmacist, general public, etc.) (Required.)

Question Title

5. What province or territory are you located in? (Required.)

Question Title

* 1. First Name (Required.)

Question Title

* 2. Last Name

Question Title

* 3. Email address - this is essential since we will use this to send you webinar link, the evaluation and certificate of attendance. (Required.)

Question Title

* 4. What is your professional affiliation? (e.g. physician, nurse, pharmacist, general public, etc.) (Required.)

Question Title

* 5. What province or territory are you located in? (Required.)

1. First Name (Required.)

2. Last Name

3. Email address - this is essential since we will use this to send you webinar link, the evaluation and certificate of attendance. (Required.)

4. What is your professional affiliation? (e.g. physician, nurse, pharmacist, general public, etc.) (Required.)

5. What province or territory are you located in? (Required.)