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Equipping healthcare professionals to serve the forgotten

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International Public Health Intensive Hybrid Course Registration

Please submit a separate registration for each participant. All information will be guarded confidentially.

*First name:
*Last name:
*Gender:
Academic Degree:
Professional Classification Most Closely Describing:
License Number
*For NPs and RNs only. License number is required to for INMED to process continuing education credit on behalf of NPs and RNs.
*Specialty/Title:
Company:
*Home Mailing Address Line 1:
Home Mailing Address Line 2:
*City:
*Home Region:
If you selected "Outside US/Canada", please choose your Country below.
*Zip Code:
*Home Country:
*Telephone:
*E-mail Address:
Alternate E-mail Address:
Occupation:
How Did You First Hear Of This Course?:
Please Describe How You Heard:
*Registration Type:
*Undergraduate, Nursing, Medical, PA, NP, Dental, Therapy, Public Health, and Pharmacy students only. PhD students are not eligible for the student rate.
*For What Course Dates Are You Registering?
 
  SUBMIT REGISTRATION  

Full refunds for course registration minus a $50 processing fee are available before the 1st day of the course. 50% refunds available through the 1st week of the course. No refunds are available after the 1st week of the course.

After submitting this information, you will be directed to a confirmation page where you will be able to make your secure online payment.
 



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