Evidence-Based Program Self-Referral Form
Requirement: Lewis County Resident AND 18 years of age or older.
Please fill out the following form if you are interested in one of the following classes:
- Diabetes Self-Management Program (DSMP)
- Chronic Disease Self-Management Program (CDSMP)
- Tai Chi for Arthritis
- Walk With Ease
*If the form is not working correctly, please contact (315) 376-5453 and ask for a Public Health Specialist.