Alzheimer's Disease and Related Disorders: Effective Communication Strategies

Registration Form

Please complete this registration form, on the second page of the form click the link that says 'Click Here' to access the webinar. 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, RN, etc.): N/A if none.

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* 4. Email:

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* 5. Are you primarily a student or trainee?

Yes

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* 6. Your Professional Discipline:

Nursing

Social Work

Rehab Therapy (PT/OT/SLP)

Not applicable

Other (please specify)

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* 1. First Name

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* 2. Last Name

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* 3. Credentials (CNA, LPN, RN, etc.): N/A if none.

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* 4. Email:

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* 5. Are you primarily a student or trainee?

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* 6. Your Professional Discipline:

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* 7. Name of Organization or Academic Institution: