IP Peer Network Program: June Meet-Up Registration
We are so excited to have you join the Independent Provider (IP) Peer Networks Program! To register for June's Meet-ups, please complete the questions below. To learn more about the program, please visit our website at https:OhioHCBS.com/
Please select the Knowledge Network meet-up date and time you would like to register for. You may skip this question if you are unable to attend either of these sessions.
Knowledge Network 1: June 3rd from 12-1PM ET
Knowledge Network 2: June 18th from 6-7PM ET
I am unable to attend a Knowledge Network session this month.
Please select the Talk Time meet-up date and time you would like to register for. You may skip this question if you are unable to attend either of these sessions.
Talk Time 1: June 10th from 12-1PM ET
Talk Time 2: June 25th from 6-7PM ET
I am unable to attend a Talk Time session this month.
This month's Knowledge Network topic is Professional Boundaries and Building Professional Relationships. If you would like to submit any questions for discussion, please enter them below. If you do not have any questions, please leave this box blank.
Your Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please indicate your provider type
*
Personal Care Aide
Home Care Attendant
LPN
RN
Please enter your county of residence
*
Would you like your contact information to be added to the participant list shared with other attendees following the meet-up?
*
Yes
No
What contact information would you like included on the contact list?
*
Phone Number
Email
Both
Submit
Should be Empty: