Pre-registration of a learner

TalkTools : Thérapie de placement en 3 parties pour la rééducation des troubles de la parole et de l’alimentation - from June 6, 2024 to June 7, 2024

Merci de remplir toutes vos informations. Nous reviendrons vers vous dans les 7 jours ouvrables. Si vous n'avez pas de numéro ADELI, indiquez 000000

General information

Honorific

First name*

Last name* Email* Date of birth*

Address*

Postcode*

City*

Country*

Phone*

Language in the Learners' Portal

Status

Profession*

DPC fields

ADELI NO.*

Main exercise (> 50%)*

National guidelines

Fields marked with * are mandatory.

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