Go Green Participation Form

Thank you so much for participating in the Chapter’s statewide awareness day, National Injury Prevention Awareness Day, November 18! Let us know to the right how your practice has participated!

Educational handout for families

Wednesday, November 18, 2020 is National Injury Prevention Awareness Day. Please join the Chapter's statewide education awareness day! Chapter Injury Prevent...

Questions?

Contact:
Linda P. Lee, APR, Executive Director
llee@alaap.org

Name

First Name

Last Name

Practice/Clinic/Organization

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

How did you participate?

Staff wore green

Distributed handout to patients and families

Pushed out information via social media

Other

Comments/Notes

Go Green participation form

Educational handout for families

Questions?

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