Living Well Self Management Programs Informed Consent Form
By typing my name below, I understand that my participation is voluntary, and that I am free to withdraw my consent and discontinue participation in this information collection at any time. A decision to not participate in the collection of information will not affect my opportunity to participate in the workshop. I understand my name will not be recorded in any database, will be de-identified and eventually destroyed. In order to receive RESPITE CARE, I am encouraged to complete all questions, surveys, and evaluations.
This is a required field.
By submitting this form, you are consenting to receive marketing emails from: Maryland Living Well Center of Excellence - Division of MAC Inc, 909 Progress Circle, #100, Salisbury, MD 21804, US, https://mdivingwell.org
You can revoke your consent to receive emails at any time by using the SafeUnsubscribe® link, found at the bottom of every email.
Emails are serviced by Constant Contact