a new conversation promoting autonomy and respect in nursing homes...
California Culture Change Coalition
Download Agenda
 

Getting Started

Regional Collaboratives Registration Page

Once you have registered, you will receive an e-mail confirmation
with location information.

Please choose the location you will be attending: Fresno - May. 14th
San Diego - May 15th
Bay Area - May 21st
Chico - May 22nd
Full Name: Title:
Full Name: Title:
Full Name: Title:
Full Name: Title:
Full Name: Title:
Full Name: Title:
Facility:
Address, City, State, Zip:
Phone: Fax:
E-Mail:
In the event of an emergency, contact
Name: Phone:
Check if appropriate - Vegetarian
Check here if you require any of the auxiliary aids or services identified in the Americans with Disabilities Act in order to attend this meeting.
 

Click "send" to complete the registration on-line
or print this page and fax it to 916.451.0409
Call 916.736.3285 to pay by phone.


 

© 2008 California Culture Change Coalition
All Rights Reserved.