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Opportunity to Provide Input -- CO Draft Brain Injury State Plan
Registration to Attend In-Person Town Halls in Pueblo,
Windsor, Grand Junction or Frisco
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1.
Please share your full name:
(Required.)
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2.
Please tell us if you are:
(Required.)
an individual with a brain injury
a family member, caregiver, or friend of an individual with a brain injury
someone who works with individuals with brain injury (service provider)
advocate
member of the general public
Other (please specify)
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3.
Email if you have one:
(Required.)
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4.
Phone (in case there are last minute changes the morning of the event):
(Required.)
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5.
Select location:
(Required.)
Pueblo Session - Friday, June 28th 9:00 am - 10:30 am
Parkview Medical Center
400 W 16th St., Pueblo, CO 81003
Windsor Session - Tuesday, July 2nd 4:00 pm - 5:30 pm
Poudre Valley REA Inc
7649 REA Parkway, Fort Collins, CO 80528
Grand Junction Session - Tuesday, July 16th 2:00 pm - 3:30 pm
Western Colorado Area Health Education Center
2938B North Ave, Grand Junction, CO 81504
Frisco Session - Wednesday, July 17th 2:30 pm - 4:00 pm
Summit County Community & Senior Center
83 Nancy's Place, Frisco, CO 80443
6.
Please share any accommodations you need, including language access services such as interpretation or translated documents.
Current Progress,
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