This session will explore these different types of health care services: palliative care, home health care, long-term care, and advance care planning. Learn how to access these health care services, understand how different types of insurance will cover these services, and get practical tips for navigating health care.

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Phone

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* 5. Street Address

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* 6. City

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* 7. State

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* 8. Zip Code

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* 9. Company/Organization (if applicable) 

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* 10. Title (if applicable) 

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* 11. Are you a (please check all that apply)

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* 12. If you are an individual with a medical condition other than cancer, please specify your medical condition

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* 13. What age range applies to you?

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* 14. I identify my race/ethnicity as

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* 15. What gender do you most identify with?

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* 16. If you are an individual who has been diagnosed with a medical condition, what type of medical condition do you have? If you are a caregiver, what type of medical condition is your loved one coping with? If you are a health care professional or navigator, what type of medical conditions are the majority of your patients diagnosed with?'

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* 17. If you need an accommodation, please describe: 

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* 18. How did you hear about this webinar?

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