Community Neurorehabilitation Network Registration Form

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Name *

Job title *

Email address *

What do you most hope to gain from being part of a community neurorehabilitation network?

Networking and connecting with others in community rehab

Attending online events, seminars and workshops

Accessing/sharing information about what's going on in community neurorehabi

Collaborating on research or clinical projects

Altro:

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Would you be able to play a role in coordinating the network / mailing list / organising events?

Yes

Maybe

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I consent to be emailed by Cognivate regarding the community neurorehabilitation network

Obbligatorio

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