INCATS - UA Continuing Education (UACE)
Continuum of Care
Please complete this form to request enrollment in the course listed above.
If you have any questions, the INCATS Team can be reached at CON-INCATS@arizona.edu.
Name
*
First Name
Last Name
Username (email)
*
Please provide an email address, which will act as your username to access the course.
Please indicate your educational title
*
Please Select
Advanced Practice Registered Nurse (APRN)
Registered Nurse (RN)
Licensed Practical Nurse (LPN)
Certified Nursing Assistant (CNA)
Other
Other
*
If you selected "Other" for the field above, please indicate your educational title here.
Please indicate your INCATS Clinical Partner affiliation
*
Please Select
Ft. Defiance Indian Health Services - Tséhootsooí Medical Center
Gila River Health Care
Navajo Technical Center
Pascua Yaqui Health Department
Phoenix Indian Medical Center
San Carols Apache Healthcare Corporation
St. Michael's Clinic
Tohono O'odham Community College
Tohono O'odham Health & Human Services
Submit
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