HFR On-Demand Training registration form

Special Instructions:

  • All fields marked with asterisks (*) are required to submit the registration form.
  • The registration form and other HFR training webpages are best viewed in Internet Explorer 8 or higher. When viewed in Internet Explorer 7 browser, fields with drop-down lists such as Subject, Training Title, and Job Title may not display the entire row of characters for each item.
  • If a session is viewed by multiple attendees at the same time, please attach a list with their first names, last names and job titles.

All courses are listed. Please choose the course title for the previously select Subject.
Enter last name
Enter first name
Enter E-mail address
Select a single title that best describes your primary job duties.
Enter the name of your facility or provider services such as XYZ Home Care or ACME Homes. NOTE: DO NOT enter the corporate owner of the facility
Street address of facility
Enter suite or office number for address
Enter City
Enter Facility Identification Number if known
Additional Attendees
If session contains multiple attendees, please attach a document (PDF) listing their first name, last name, and position.
This question is for testing whether you are a human visitor and to prevent automated spam submissions.