Nicotine Dependance Practicum Training Registration Form (part 2 of 2)📋✨

Nicotine Dependance Practicum Training Registration Form (part 2 of 2) 📋✨

Please fill out your details and select the date of training to complete your registration.
THIS IS AN IN-PERSON TRAINING

LOCATION: CODAC Behavioral Healthcare | 45 Royal Little Dr. Providence, RI

Learning Objectives
- Experience the power of Motivational Interviewing (MI) Spirit as a driver for change
- Learn reflection skills to explore a patient's personal motivation to quit
- Avoid common pitfalls that interfere with behavior change conversations
- Practice non-judgmental, person-centered cessation language
- Feel comfortable and competent addressing cessation possibilities
- Apply household and partner engagement strategies in perinatal settings
To register for part 1: Nicotine Dependance Overview, Click HERE (opens in new window)
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Organization
Position
Select Training Date (Note: June 16th session is filled)
Should be Empty:

Nicotine Dependance Practicum Training Registration Form (part 2 of 2) 📋✨