JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Pain: A Narrative Medicine Series for Families of Children with Disability and/or Medical Complexity
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email
*
Your answer
In which city and state do you reside?
*
Your answer
Which workshop would you like to attend?
Second Wednesday of each month at 1pm EST (12pm CST, 11am MST, 10am PST)
Second Wednesday of each month at 7pm EST (6pm CST, 5pm MST, 4pm PST)
Please confirm the dates below that you will be able to attend.
I recognize that narrative medicine is best practiced over time and commit to attending all sessions to the best of my ability.
*
January 14, 2026
February 11, 2026
March 11, 2026
April 8, 2026
May 13, 2026
June 10, 2026
Required
Would you like to receive a journal and paper copies of texts? If so, please share an address where items can be mailed.
Your answer
How did you hear about this series?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bluebird Consulting LLC.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report