CANS Training - Coeur d'Alene

Training Registration

The CANS is the State-approved functional assessment tool required by July 1, 2019. Optum is offering a series of three separate in-person CANS training sessions at four locations through the state facilitated by the Praed Foundation. Providers may opt to attend one or all of the available classes based on their interest. The courses do not replace certification, but are designed to support providers who intend to become CANS certified.

Please fill out the following information to register for one or all of the CANS training in Coeur d'Alene in March, 2019.

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* 1. Full Name

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* 2. Agency

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* 3. Licensure

LMSW

LCSW

LPC

LCPC

LMFT

PhD

MD/DO

APRN/PA

Other

Not Liscensed

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* 4. E-mail Address

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* 5. Phone Number

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* 6. I would like to register for:

CANS Certification- CDA (4-March 9:00-4:00 PM PT)

CANS Booster- CDA (5-March 1:00-4:00 PM PT)

CANS in Practice- CDA (6-March 9:00-4:00 PM PT)

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* 7. Are you certified to administer the CANS in Idaho?

Yes

CANS Training - Coeur d'Alene

Training Registration

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* 1. Full Name

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* 2. Agency

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* 3. Licensure

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* 4. E-mail Address

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* 5. Phone Number

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* 6. I would like to register for:

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* 7. Are you certified to administer the CANS in Idaho?

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* 8. How did you hear about this event?

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* 9. Please list any dietary needs/restrictions.