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Training on Alcohol Screening, Brief Intervention, and Referral to Treatment (SBIRT) available through UCLA Integrated Substance Abuse Programs and the Pacific Southwest Addiction Technology Transfer Center

Request for SBIRT Training Form:

First Name:
Last Name:
Phone Number:
Name of Organization:
Brief Description of Services Provided:
Preferred Training Dates:
Estimated Number of Participants:
Proposed Location:

Continuing Education Credits Needed:

(Please check all that apply)
Registered Nurse
Certified Alcohol and Drug Counselor
Physician/Nurse Practitioner/Physician Assistant (CME)
  Please note: Training cost will be based upon the specific needs of the requesting organization.