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Flyers & Referral Forms

/Flyers & Referral Forms
Flyers & Referral Forms 2021-01-21T20:33:15+00:00

Download Flyers & Referral Forms Directly from our Website!

Health Career Exploration Tours Program

Are you a high school student interested in learning how you can prepare for a career in the health care industry?

Free Evidence-Based Health and Wellness Programs

Are you interested in signing up for free health education programs?

Click this link to submit an interest form and we will contact you soon to complete the registration process.

https://www.cognitoforms.com/forms/admin/view/northeastfloridaahecprograminterestform

Tobacco Free Florida AHEC Cessation Program

Referral Form

Healthcare providers, please use this form to refer your clients to free tobacco cessation programs.

Electronic Referral Form:

https://www.cognitoforms.com/NortheastFloridaAHEC/healthcareproviderreferralformtotobaccofreeflorida

Tobacco Free Florida AHEC Cessation Program

Virtual Class Options

In-Person Class Options

Baker County

Clay County

Duval County

Flagler County

Nassau County

St. Johns County

Volusia County

Wellness Program Referral Form

Healthcare providers, please use this form to refer your clients to free health and wellness education programs.

Electronic Referral Form:

https://www.cognitoforms.com/NortheastFloridaAHEC/healthcareproviderreferralformtonortheastfloridaahec

Wellness Program for Adults Age 60+

Overview of all Programs

February – April 2021 Program Schedule

A Matter of Balance

Active Living Every Day

Arthritis Foundation Exercise Program

Chronic Pain Self-Management Program

Healthy Eating Every Day

Living Healthy Workshop: Chronic Disease Self-Management Program

Savvy Caregiver Program

Tai Chi for Arthritis


Documents are available for download in PDF format.

Additional file formats are available upon request (Word, JPEG, PNG, etc.).

Please email requests to Vanessa Salmo at vsalmo@northfloridaahec.org