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Flyers & Referral Forms

/Flyers & Referral Forms
Flyers & Referral Forms 2022-09-02T20:37:08+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? Please contact Jennifer Smidt- jsmidt@northfloridaahec.org for application details.

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

Health Care Summer Institute Program

Are you a high school student interested in learning how you can prepare for a career in the health care industry? Please contact Jennifer Smidt- jsmidt@northfloridaahec.org for application details.

To learn more and/or apply, visit: https://odhe.med.ufl.edu/pipeline-programs/8-2/

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/healthcareproviderreferralform

Wellness Program for Adults Age 60+

Overview of all Programs

A Matter of Balance

Arthritis Foundation Exercise Program

Chronic Pain Self-Management Program

Diabetes Empowerment Education Program

Diabetes 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 admin@northfloridaahec.org