Grief and Loss: Supporting Older Adults

Registration Form

Please complete this registration form, on the second page of the form click the link that says 'Click Here' to access the webinar. Please refer to the Rhode Island Geriatric Education Center's website for 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

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* 2. Last Name

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* 3. Credentials

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* 4. Email:

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* 5. Organization

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* 6. State

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* 7. Trainee Type:

Professional / Provider

Student or Clinical Trainee

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* 8. Your Professional Discipline:

Allied Health

Medicine

Nursing

Pharmacy

Psychology

Social Work

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* 9. Do you wish to be notified about future program offerings?

Yes