Step Ahead to Fall Prevention e-Learning Module Registration Form

Thank you for registering for the Step Ahead to Fall Prevention Online E-learning Module. This E-module is offered to agencies and individuals providing care to older adults living independently in their own homes. The goal is to empower caregivers to incorporate falls prevention knowledge and skills into their daily work with older adults. Please complete the following questions to sign up.


Notice of Collection: The information on this form is collected under the authority of the Health Protection and Promotion Act, s. 9. It will only be used for the purpose of providing instructions to participants on how to access the E-learning Module. If you have any questions about this collection, please contact the Toronto Public Health, Health Promotion Specialist for Injury Prevention, 399 The West Mall, M9C 2Y2 or by telephone at 416-338-7600, or by email at

1. Enter your email address (Required)

2. Which of the following best describes your current role?