Meaningful Conversations - When Your Loved One Has Dementia - Request Information

1st and 3rd Mondays each month
10:00 – 11:30 am
Via Zoom Conferencing

If you care for a loved one with dementia, this group offers conversation, support, resources, and education. Facilitated by Rachel Brodsky, MA, CMC. Co-Sponsored by the Alzheimer’s Association and the Edward A. Myerberg Center.

Please provide contact information so that the group facilitator can contact you.
Name Name First Last
Email Address
Phone Phone - ### - ### ####
Your Zip Code
Please share your age.

Please share your age. Under 18 18-24 25-34 35-44 45-54 55-59 60+
Please share your pronouns.
Pronouns are the part of speech used to refer to someone in the third person. We want to know how to respectfully refer to you.

Please share your pronouns.
Pronouns are the part of speech used to refer to someone in the third person. We want to know how to respectfully refer to you. She/her/hers He/him/his They/them/their Other Other
Do you affiliate with a particular religion?

Do you affiliate with a particular religion? Yes No Prefer not to answer
What is your religious affiliation?
How did you learn about this program?

How did you learn about this program? JCS e-newsletter JCS website Social Media Print Flyer or Poster JCS Staff Person The Associated Communications (e-news, posts, calendars) AgeWell Baltimore Other Agency of The Associated (JCC, CHAI, Myerberg Center, CHANA, etc.) Synagogue / Temple Community Professional or Organization Press/Media (Article, Ad, Calendar) Friend or Family Member Other Other
After you submit this request, we will follow up to talk further with you about the group.

Meaningful Conversations - When Your Loved One Has Dementia - Request Information

Meaningful Conversations - When Your Loved One Has Dementia - Request Information

Please provide contact information so that the group facilitator can contact you.

After you submit this request, we will follow up to talk further with you about the group.