Mental Health Series Registration

This training is only for families and caregivers of adults receiving Mainecare Beneiftis Section 12, 19 and 26.

For any questions, feel free to reach out to Devon at mhfa@namimaine.org

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* 1. Please select which training(s) you are registering for:

NAMI Maine and stigma - July 8

Understanding mental health and preparing for crisis - July 11

Treatment Options for Mental Health - July 15

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* 2. Contact Information

First Name

Last Name

Email Address

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* 3. Associated Agency (if applicable)

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* 4. Please indicate which Service Coordination Agency coordinates Section 12, 19, or 26 services on behalf of the member you are supporting:

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* 5. Type of Caregiver

PSS

Attendant

CNA

LPN/RN

Home Health Aide

Family/Natural Support

Other (please specify)

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* 6. Do you have any accommodations or access needs that would help you fully participate in this training?

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* 7. Would you like to be added to NAMI Maine's Newsletter?

Yes