Registration for Advance Healthcare Directives Updates
Wednesday, January 21st at 2:00pm via Zoom
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Is this your first time participating in a CSCDE program?
Yes
No
I would like to attend (check all that apply- please note session recording will be sent to all who register):
10/21 - Lymphedema
10/28 - Cancer Induced Peripheral Neuropathy
11/4 - Pelvic Floor Health
11/11 - Cancer Related Fatigue
For planning purposes, please let us know how you plan to attend. (No need to let us know if this changes, you may attend each session either in-person or via Zoom)
In-person
via Zoom
Submit
Should be Empty: