WMECC Form Please note – if there are multiple people from your organization and you would like to pay by check – you can do so. All checks need to be postmarked by May 31st in order for you to be registered for the conference. Name * First Last * Last Address * Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Email * Confirm Email * Phone * CEUS Needed Yes (+$15) No Agency * Position * Previous Attendee? * Yes No AM Workshop Registration - 1st Choice * Select your Primary AM ChoiceWorkshop AM-1: Making Informed Decisions About MedicareWorkshop AM-2: Interoceptive Awareness and Accuracy for EldersWorkshop AM-3: Finding your Way: Motivational InterviewingWorkshop AM-4: Neuro PT (Physical Therapy)Workshop AM-5: Ambiguous Grief on the Caring JourneyWorkshop AM-6: I wish and I worry: Tools for working with Clients at End of LifeWorkshop AM-7: Taking Mom and Dad's License AwayWorkshop AM-8: Elder FraudWorkshop 9: Understanding DementiaWorkshop 10: MOLST to POLST TransitionWorkshop 11: MA Behavioral Health Helpline AM Workshop Registration - 2nd Choice * Select your Primary AM ChoiceWorkshop AM-1: Making Informed Decisions About MedicareWorkshop AM-2: Interoceptive Awareness and Accuracy for EldersWorkshop AM-3: Finding your Way: Motivational InterviewingWorkshop AM-4: Neuro PT (Physical Therapy)Workshop AM-5: Ambiguous Grief on the Caring JourneyWorkshop AM-6: I wish and I worry: Tools for working with Clients at End of LifeWorkshop AM-7: Taking Mom and Dad's License AwayWorkshop AM-8: Elder FraudWorkshop 9: Understanding DementiaWorkshop 10: MOLST to POLST TransitionWorkshop 11: MA Behavioral Health Helpline PM Workshop Registration - 1st Choice * Select your Primary PM ChoiceWorkshop PM-1: Navigating Social and Health Care Needs with DementiaWorkshop PM-2: Celebrating GrandparentsWorkshop PM-3: How to Have a Supportive Conversation about Substance UseWorkshop PM-4: Supporting Seniors and Families with a Graceful TransitionWorkshop PM-5: MA Public Housing ProgramsWorkshop PM-6: VA Caregiver Support ProgramWorkshop PM-7: Password Management Tips: Scam Prevention for EldersWorkshop PM-8: End of Life DoulaWorkshop PM-9: Latest Alzheimer's and Dementia ResearchWorkshop PM-10: End of Life Care; What are your resources?Workshop PM-11: Panel Discussion - Eldercare Options 101 PM Workshop Registration - 2nd Choice * Select your Primary PM ChoiceWorkshop PM-1: Navigating Social and Health Care Needs with DementiaWorkshop PM-2: Celebrating GrandparentsWorkshop PM-3: How to Have a Supportive Conversation about Substance UseWorkshop PM-4: Supporting Seniors and Families with a Graceful TransitionWorkshop PM-5: MA Public Housing ProgramsWorkshop PM-6: VA Caregiver Support ProgramWorkshop PM-7: Password Management Tips: Scam Prevention for EldersWorkshop PM-8: End of Life DoulaWorkshop PM-9: Latest Alzheimer's and Dementia ResearchWorkshop PM-10: End of Life Care; What are your resources?Workshop PM-11: Panel Discussion - Eldercare Options 101 Order Total $ Payment Method Credit Card Check Credit Card You have chosen to pay by check. A JGS Lifecare representative will reach out to you to finalize payment. Submit If you are human, leave this field blank.
