Passages Educational Program (Virtual) – Registration

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The Pathways Center for Grief & Loss and Journey program are free resources to our service area region, regardless of whether your loved one is or was a hospice patient. Our support groups focus on grief education and support and are designed for those within the first two years following the death of a loved one. Registration deadline is one week prior to the group.

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User Name

MRN#(Required)

HB/CB?(Required)

Is this your first time attending a Pathways support group?(Required)

Yes

Your Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Your Telephone #(Required)

Your Email(Required)

When was your loss?(Required)

Was your loved one under the care of Hospice & Community Care?(Required)

Yes

What was his/her name?(Required)

First Last

Select the group for which you would like to register. (Only one group may be selected per submission.)(Required)

Registration deadline one week prior to the group.

Mon, April 13, 6:30-8:00 pm (Virtual)

Mon, May 11, 6:30-8:00 pm (Virtual)

Mon, June 8, 6:30-8:00 pm (Virtual)

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