Concurrent Disorders: Treatment Approaches and Applications Course: Pre-Registration form 2024/2025

Please fill out this pre-registration form to be considered for the Concurrent Disorders (CD): Treatment approaches and applications course. Pre-registration is the first phase of course registration process. If you do not submit your pre-registration form, you will not be able to register for the course.

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* 1. Please indicate your name, email address and work title/position

Name:

Email address:

Work title/Position

Discipline

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* 2. Briefly describe the patient population with whom you work.

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* 3. Briefly describe your practice setting and your main responsibilities with patients

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* 4. Indicate your interest in this course (you may select more than one response)

As an elective course toward the Concurrent Disorders Certificate program

I want to learn concurrent disorders treatment approaches and applications to use in my practice

General interest in the concurrent disorders treatment approaches and applications

Seeking information on concurrent disorders training for your organization/team

Other (please specify)

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* 1. Please indicate your name, email address and work title/position

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* 2. Briefly describe the patient population with whom you work.

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* 3. Briefly describe your practice setting and your main responsibilities with patients

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* 4. Indicate your interest in this course (you may select more than one response)

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* 5. CAMH staff members, please provide your CAMH email address