2023 Course Registration: Controlled Substance Diversion in Veterinary Medicine (Online; 2-Hour CE)
This is the registration form for the Power of Putnam-Tennessee Tech Collaborative CE course, Controlled Substance Diversion in Veterinary Medicine.

All information provided is completely confidential. Once you submit the requested information, an account in the course will be created for you. You will be contacted shortly with login information. Once submitted, please keep an eye out for an email from d2lsupport@ttueprd.brightspace.com with the course website and login information.

Please contact the Project Coordinator, Dr. Steven Seiler, with any questions or concerns, sseiler@tntech.edu.
Sign in to Google to save your progress. Learn more
Please provide your email address here. *
Please confirm your email address here. *
Did you previously register for the 2020, 2021, or 2022 CE course? *
First Name *
Last Name *
Job Title *
Employer *
Please select the STATE in which you WORK. *
Please provide the COUNTY in which you WORK. *
Please select the STATE in which you LIVE. *
Please provide the COUNTY in which you LIVE. *
Age
Gender
Race
Are you aware of any substance misuse prevention coalitions in your community?
Clear selection
If so, do you happen to know the name(s) of it (or them)?
In the past year, have you been aware of or had suspicion of an animal owner using medications prescribed to their pet? 
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy