Webinar Registration

Reducing Avoidable Hospitalizations Across the Continuum of Care in CMS Region IV
Webinar Registration A training webinar for all nursing home care staff, directors, administrators andlong-term carers Please complete this registration form ahead of the scheduled training. All fields are required.
First Name
Last Name
Position at Facility or Organization		(i.e. NHA, DON, etc.)
Name of Facility or Organization
State	Select... Alabama Florida Georgia Kentucky Mississippi North Carolina South Carolina Tennessee
Phone Number
Email Address
Date of Webinar	Select... April 18 1-2pm April 25 1-2pm May 2 1-2pm May 9 1-2pm May 16 1-2pm
	*All fields are required