Building a Culture of Safety and Sensitivity for the LGBTQIA+ Community

laptop next to a stack of books In order for a live session of Building a Culture of Safety and Sensitivity for the LGBTQIA+ Community to be approved for accreditation, please complete the following form. An * indicates the field is required. At the end of the form, click the Submit button.

The form should be submitted no later than two weeks after the live activity date.

If you have immediate questions or concerns, please email: moreinfo@optumhealtheducation.com.

Submitter’s Information

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Activity Information

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Date activity was held *

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Activity Location *

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Attendee Breakout

Number of Nurses at Session (Nurses ONLY) *

Out of the total number of attendees, how many were nurses?

Number of Physicians at Session (ONLY MDs and DOs) *

Out of the total number of attendees, how many were MDs and DOs?

Number of PAs at Session *

Out of the total number of attendees, how many were PAs?

Number of Psychologists at Session *

Out of the total number of attendees, how many were Psychologists?

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Building a Culture of Safety and Sensitivity for the LGBTQIA+ Community

Submitter’s Information

Activity Information

Attendee Breakout