Understanding the Different Types of Dementia and Best Approaches

Registration Form

Please complete this registration form and click 'Done.' You will receive an email from the Rhode Island Geriatric Education Center with a link to the webinar and directions to receive your certificate of completion. If you have any questions please email rigec@etal.uri.edu or call 401-874-5311. Thank you!

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* 1. First Name

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* 2. Last Name

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* 3. Credentials (CNA, LPN, etc.): list n/a if none.

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* 4. Email:

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* 5. What is your professional discipline

Nursing

Social Work

Rehab Therapy (PT/OT/SLP)

Not applicable

Other (please specify)

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* 6. Are you primarily a student or trainee?

Yes

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* 1. First Name

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* 2. Last Name

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* 3. Credentials (CNA, LPN, etc.): list n/a if none.

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* 4. Email:

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* 5. What is your professional discipline

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* 6. Are you primarily a student or trainee?

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* 7. Name of Organization or Academic Institution: