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Good Questions for Good Health
Empowering People with Lower Limb Loss and Limb Difference
Which session are you registering for?
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Friday, March 12, 2021 - 11-12:30 pm CST
Wednesday, March 24, 2021 - 6:30-8:00 pm CST
Friday, April 9, 2021 - 11-12:30 pm CST
Wednesday, April 28, 2021 - 6:30-8:00 pm CST
Friday, May 14, 2021 - 11-12:30 pm CST
Wednesday, May 26, 2021 - 6:30-8:00 pm CST
First Name
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Last Name
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Phone Number:
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Email Address
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Confirm your Email Address
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A little about you:
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I am a person with an amputation
I am a caregiver of someone with an amputation
I am a family member of someone with an amputation
I am a health care provider
Other, please explain:
Other, please explain:
How did you hear about our Good Questions for Good Health Series?
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Email
Friend
Your Prosthetist
AMPOWER Peer Support Program
HangerClinic.com
EmpowerFest
Facebook/Instagram/Twitter
Promotional flyer
Other
Are you a Hanger Clinic patient? (This question is optional, and please note all Hanger Clinic/Non-Hanger Clinic patients are WELCOME!)
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Yes
No
Additional Comments or Questions:
May we add you to our events distribution list?
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Yes
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