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Date:
Friday, May 23, 2025
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Provider Calendar Form
*Provider or ME Name:
*Name of Event:
*Overview (1 sentence):
*Who's Attending from Organization?
*Date:
*Time:
*Location:
*Program Area:
Adult Mental Health Treatment
Adult Substance Use Disorder Treatment
Children Mental Health Treatment
Children Substance Use Disorder Treatment
General Prevention/Outreach
Recovery-Oriented System of Care
Suicide Prevention
*Media Attending?
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*Virtual Option:
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*Organization or Event Webpage:
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Training Calendar Form
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*Trainer’s Credentials:
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*Date:
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*Location:
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*Program Areas (select all that apply):
Adult Mental Health Treatment
Adult Substance Use Disorder Treatment
Children Mental Health Treatment
Children Substance Use Disorder Treatment
General Prevention/Outreach
Recovery-Oriented System of Care
Suicide Prevention
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