Welcome to Medicare CCC – Registration Form

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.*
- July 13, 2021, at 3:00 PM
- August 10, 2021, at 3:00 PM
- September 14, 2021, at 3:00 PM
- October 12, 2021, at 3:00 PM
- November 9, 2021, at 3:00 PM
- December 14, 2021, 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.
Name
This field is for validation purposes and should be left unchanged.

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This project was supported, in part by grant number 90SAPG0094-02-00, 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

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