Dementia Generalist for Healthcare Providers

Online Refund Policy: There are no refunds or cancellations for this training. The Dementia online training is available to registrants for 6 months.

If you have any questions please email regstaff@uwosh.edu
Please note: All registrations are processed by our talented Registration Staff. We personally manually enroll each learner into our courses, this is not an automated process. You will receive an email separate from your purchase receipt from notifications@instructure.com with insurrections to access your course within 2 business days. Please add notifications@instructure.com to your safe senders list and check your junk and spam folders.

Fields with asterisk are required.

Participant First Name *

Middle Initial (or NA if none) *

Participant Last Name *

Date of Birth (MM/DD/YYYY) *

Agency Name *

Agency Type *

If agency type is other please enter here

Nursing Home License #

Agency Address *

Agency City *

Agency State *

Agency Zip Code *

Agency County *

Position Title *

Daytime Phone Number - Use the format (000-000-0000) *

Participant Email Address (for registration confirmations) *

By clicking this checkbox I understand I will be registered for this course and sent instructions from a human being and I understand I will receive instructions separately from my purchase receipt to access the UW System Canvas System and will look for emails from notifications@instructure.com to access the course. I understand that I may need to wait until the next business day to receive this information. *

I understand in the event of a

withdrawal the fee is non-refundable

and if I choose to defer payment

to my Fall bill, I am responsible

for this fee.

I agree

$45.00

Qty: