Registration Form

                               
Name * First
  Last
Address * Street
  Apt.
  City
  State  
  Zip
Phone * Daytime (  )  
E-mail *  
Primary Care Physician
Obstetrician  
Health Insurance *
(will not be billed)		  
Other insurance

Childbirth classes only:
Due date *
At what hospital do you plan to deliver?   

Are you in the UC Davis Medical Group? *   
Yes    No   
Did your doctor tell you to attend this type of class? *    Yes    No   
Are you a current or former UC Davis Employee? *    Yes    No   

Please enter the highlighted number. This prevents automated form submission. *   
    
 
       


      

Health and Wellness

Grandpa

Diabetes: Getting Started

Diabetes: Getting Started is a 2-hour 15-minute diabetes class for those wanting to learn about or update diabetes self-management skills. Class is taught by a Certified Diabetes Educator. Please feel free to bring one support person with you. Read more >>

Questions?

For general information or questions, please contact the Health and Wellness Center.

Phone: 916-734-9797

E-mail hs-wellness@ucdavis.edu

Submit a Class

Submit your Health and Wellness class for publication on this website.

Submission Form » (staff only)