Let's Talk Addiction: Stigma
Registration for the April 28, 2022 webinar Let's Talk Addiction: Stigma, within a few days of your response submission you will receive a Zoom link. If you have any questions please email Tim Hudson (hudsonti@med.umich.edu)
登录 Google 即可保存进度。了解详情
电子邮件地址 *
1. First Name *
2. Last Name *
3. Provider Role (physician, social work, etc.) *
4. Which organization are you with? *
5. What is the location of your organization? *
6. Which county is your organization located in? *
7. How did you hear about this webinar? *
8. If you answered "Provider Organization" above, please specify which.
9. If you answered "Community Newsletter" above, please specify which.
10. Do you have any questions for the presenter? *
提交
清除表单内容
切勿通过 Google 表单提交密码。
此表单是在 University of Michigan 内部创建的。 举报滥用行为
Google 表单