Webinar Invitation

Thank you for your interest in our Veteran's and Suicide Webinar. Our presenter will be Mr. Danny Guckenburg, Who is a LCSW and the Suicide Prevention Case Manager at the Carl T. Hayden V.A. Medical Center in Phoenix Arizona.

The Webinar is scheduled for Wednesday, December 15, 2010, from 3:00 to 4:30 p.m., Eastern (12 p.m. - 1:30 p.m. Pacific; 1:00pm -2:30 p.m. Mountain; 2 - 3:30 p.m. Central.) Please make note of the start time for your time zone!

This webinar will be recorded for future educational viewing.

Please complete all pages of the registration form below by using the 'Next' button. Once you have completed this registration, you will be directed to a web page with login/access instructions for the webinar. Please save or print out this document!

You may participate in the Webinar from your home or office if you have access to an Internet-connected computer and a telephone.

This Webinar is sponsored and produced by Magellan Health Services.

Please complete the registration information if you plan to attend the webinar. Thank you!

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* 1. I understand this webinar will be recorded and archived for future educational purposes.

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* 2. Please complete the contact information below.

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* 3. What is your e-mail address?

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* 4. OPTIONAL: Please select each that applies that is relevant to your interest in the Veterans and Suicide Webinar.

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* 5. OPTIONAL: If you are a service provider, what agency/organization do you work for?

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* 6. OPTIONAL: If you are affiliated with an advocacy organization, which one?

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