MTM Training Program Interest Form

In order to facilitate Ohio pharmacists' ability to broaden their scope of practice, OPA plans to continue to offer this valuable program. If you are unable to attend the August 22, 2018 MTM training program and are interested in attending in the future, please complete the following secure form. This information will be used to contact you via email when the next program is scheduled. Notices about any upcoming training programs will be sent via email.
Name
(First/Middle/Last)
Address
City
State
Zip
Primary Email Address
(Notices about upcoming Delivering MTMS Training programming will be sent via email.)
I am interested in attending a future Delivering MTMS training program.
Comments
 
Please note: current OPA members have preferred registration status for this and other programs with limited seating. Thank you for your interest!
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