Advanced Registration

 

INTENTIONAL LEADERSHIP WORKSHOP

Equilibria in Health Care's Intentional Leadership Workshops are AAFP accredited.  Each participant will earn 13 hours of CME credits.   Our interactive training programs take place over 2 action packed and engaging days.

Additional workshops are currently being scheduled.  Please complete the Advanced Registration form below to have a member of our team notify you once the dates and location have been confirmed. 

If you need to book multiple  persons, or if you have any questions, please fill in our Contact Us  form.

ADVANCED REGISTRATION FORM

What is the first name of the participant?
What is the participant's last name?
Tell us how you want your name to appear on your name tag.
Please ensure your email address is correct.
Check this box if CME credits are required and enter your AAFP Professional License Number in the field below.
If you selected the CME Credits checkbox, please include your AAFP identification number.
Please let us know if you have any special needs.
Please let us know if you have any special needs.
If attending on behalf of an organization please include the name.
If you require a certificate please include your complete mailing address.
US clients please enter (area code) phone number. International clients please enter: (country code) phone number.
Please acknowledge your acceptance.