Did You Just Say the "H" Word?
Please fill out the below form to register for this Continuing Education program. The program will be held at 12:00pm. on Tuesday, January 19th. 1.0 CEU will be available for Licensed Illinois Nurses, Social Workers and Professional Counselors.
Name
*
First Name
Last Name
Company
*
Email
*
example@example.com
License Number
*
Type N/A if not license or not seeking a CEU
Profession
*
RN
SW/PC
Phone Number
*
-
Area Code
Phone Number
Signature
*
Please hold down the left mouse button on a computer while signing, or sign with your finger on a mobile device.
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