Welcome to Medicare CCC – Registration Form

"*" indicates required fields

Please register for Welcome to Medicare, presented by Contra Costa HICAP. The class will be held "virtually" via ZOOM video conferencing. We will email the link to the ZOOM class approximately one week prior to the class.

Please complete the form below. An *asterisk indicates a required field.

Select the session you wish to attend.*

August 16, 2022, at 3:00 PM

September 20, 2022, at 3:00 PM

October 18, 2022, at 3:00 PM

November 15, 2022, at 3:00 PM

December 14, 2022, at 3:00 PM

Name*

First Last

Zip Code*

Email*

Enter Email Confirm Email

Phone*

Enter the best phone number to be reached on week days.

Optional: Enter any question or comment.

Do not provide any personal information.

Comments

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This project was supported in part by grant number numbers 90SAPG0094-03 from the U.S. Administration for Community Living (ACL), Department of Health and Human Services, Washington, D.C. 20201.  Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions.  Points of view or opinions do not, therefore, necessarily represent official ACL policy

Some material on this website has been obtained from public records. Maps are Copyright © 2022 by Google Inc. or Microsoft Inc. The balance of the material is Copyright © 2008-2022 by Contra Costa County HICAP. All Rights are Reserved and material cannot be used without written permission.

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Welcome to Medicare CCC – Registration Form

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