The Effect of Heat and Hurricane Disasters on the Elderly

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 continuing education credits. 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 (Required.)

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2. Last Name (Required.)

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3. Credentials

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4. Email: (Required.)

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5. Trainee Type: (Required.)

Professional / Provider

Student or Clinical Trainee

Other (please specify)

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6. Your Professional Discipline: (Required.)

Allied Health

Medicine

Nursing

Pharmacy

Psychology

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7. Do you wish to be notified about future program offerings? (Required.)

Yes

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* 1. First Name (Required.)

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* 2. Last Name (Required.)

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* 3. Credentials

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* 4. Email: (Required.)

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* 5. Trainee Type: (Required.)

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* 6. Your Professional Discipline: (Required.)

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* 7. Do you wish to be notified about future program offerings? (Required.)

1. First Name (Required.)

2. Last Name (Required.)

3. Credentials

4. Email: (Required.)

5. Trainee Type: (Required.)

6. Your Professional Discipline: (Required.)

7. Do you wish to be notified about future program offerings? (Required.)