Thank you for your interest in training. Please fill out the form and click submit at the bottom of the page. We will contact you within 1-2 business days to consult further. You must have JavaScript enabled to use this form. Name of Department/Organization * Contact Name * Contact Number * Contact Email * Training Details Size of Audience * Preferred Date(s) * Preferred Location of Training * Duration of Training Time * Preferred Time of Day * Equipment You Have Available (Please check all that apply) Projector Computer Speakers Microphone White Board None of the Above Target Audience (Please check all that apply) Medical Providers (MD’s, NP’s, PA’s, ND’s, etc.) Nurses (RN’s, LPN’s, CAN’s, etc.) Ancillary Staff (Medical Assistants, Front Desk, Referral Coordinators, etc.) Mental Health Providers (LCSW, LMHC, MFT, etc.) Other Please Describe Content Request Introduction to vulnerable patient communities Societal Impact on overall health Strategies for creating affirming and safe spaces Documentation in Epic Other Please Describe Submit Training Request Or Call 801-213-2195 Leave this field blank