Registration Form
After you complete the following registration form, you will receive an auto response with the link and redemption code for accessing the on-demand webinar, together with instructions for completing the webinar and claiming your certificate of participation or attendance. If you encounter any issues with receiving the instructions or completing the same, please contact the Arizona Psychiatric Society (admin@azpsych.org). Thank you.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Are you a member of the Arizona Psychiatric Society?
*
Yes
No
Please tell us your role in providing care for opioid use disorder?
*
Psychiatric physician
Primary care or family physician
Physician specialty other than psychiatry, primary care, or family physician
Prescribing mental health practitioner (non-physician)
Other
Submit
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