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.
  • Enter the best phone number to be reached on week days.
  • This field is for validation purposes and should be left unchanged.

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