*Name:

Address:

Please indicate how you prefer to be contacted:

*Phone:

*E-mail:

Program(s) you wish to attend:

Malpractice Support

Balancing Medicine with Life

Fatherhood and Medicine

Motherhood and Medicine

Staying in Medicine

Location nearest you:

Portland

Augusta 

Bangor 

• Each program is $850. for 8 sessions.
• Payment must be received before attendance at Program.
• You will be notified when a group has been formed and where your group will meet.

Please make check payable to: