This program was approved by the National Association of Social Workers (provider # 886428279) for up to 5 continuing education contact hours. (Expired Sept 30, 2005)
(12/4/06 Note: The agreement under which we could award SWCE
credit expired September 20th of 2005 - we are having it renewed so we
can still issue credits. Please check back here soon, we expect
this to be done with in few weeks.)
To receive contact hours for the number of hours you have spent using the virtual clinic, please complete the following documents and mail them with payment to the address listed below:
- Participant Form -- This is a PDF that you can download and print, fill out, and mail in to the address below.
(requires Acrobat Reader)
- Program Evaluation Questionnaire -- This is a PDF that you can download and print, fill out, and mail in to the address below. (requires Acrobat Reader)
- Self-Assessment -- This is a PDF that you can download and print, fill out, and mail in to the address below.
(requires Acrobat Reader)
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All materials must be completed and mailed with a check made payable to Dartmouth College for $20 to:
Cecelia Gaffney
DHMC-NCCC
Rubin Building 7925
One Medical Center Drive
Lebanon, NH 03756
Contact Person:
Name: Cece Gaffney
Email: quitsmoking AT dartmouth DOT edu
