Skip to content

MI Introduction and Application Course: Pre Registration form 2025-2026

Please fill out this pre-registration form to be considered for the motivational interviewing (MI) introduction and application course. Pre-registration is the first phase of course registration process. If you do not submit your pre-registration form, you will not be able to register for the course.

1.Please indicate your name, email address and work title/position
2.Briefly describe the patient population with whom you work.(Required.)
3.Briefly describe your practice setting and your main responsibilities with patients(Required.)
4.Please indicate your preferred time to attend course sessions
5.What questions, concerns, comments and/or recommendations would you like educational planners to consider when developing the course schedule