Waiting List Registration - Chronic Disease Self-Management Program

Register for Our Waiting List

Due to COVID-19, we are suspending all in-person workshops. We invite you to register for our waiting list and you will be notified when a workshop becomes available that fits your needs.

Registration Details

First Name *

Last Name *

Profesional Designation *

Profession *

Organization Name *

Department

Address *

City *

Postal Code *

Email *

Phone *

Special Needs or Comments for our Faculty

Waiting List Information

Workshop Types *

Select workshop types you are interested in

Communities *

Select all communities that apply