Registration Form

Diabetes Classes (Recorded) Registration

This registration form is to be filled out and submitted by the participant. Please fill out the following to participate in our program and to receive the links to the recorded classes:

Name of participant(s):*
Address*
Those participating from home may provide their home address.
Phone*
Email*
Enter Email Confirm Email
Comments
Choose Your Recorded Classes
Please select the recorded tele-education classes you would like to view. Press and hold the COMMAND/ALT key and click on the class to make multiple selections.
Confirmation of Registration
After submitting this registration form, you will receive an email with links to the videos and the handouts. This program is free to all residents. Please contact Lorrie Rilko with any questions at pap8fj@virginia.edu.
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The Basics of Diabetes - Part 1
The Basics of Diabetes - Part 2
Nutrition Basics - Part 1
Nutrition Basics - Part 2
Diabetes Self-Management Skills - Part 1
Diabetes Self-Management Skills - Part 2
Healthy Eating Lifestyle Changes - Part 1
Healthy Eating Lifestyle Changes - Part 2

Registration Form

Diabetes Classes (Recorded) Registration

Confirmation of Registration