FREE Virtual Diabetes Class
Please join us for a FREE Virtual 2day Diabetes Class on Dec 11th and Dec 18th, 2020 from 4-5:30pm. Once you completed both class, you will receive a FREE HOLIDAY GIFT BAG with groceries & cooking supplies.
After registering, you will receive an email with details of how to sign into the virtual class, how to pick up your FREE holiday gift bag, and all technology requirements.
If you need assistance, please contact Christal Pham at 909-706-3802.
First Name, Last Name
Date of Birth
I have internet access through my...
How many people will be participating from your household?
Any other questions?
Never submit passwords through Google Forms.
This form was created inside of Western University of Health Sciences.