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Maternal, Child, and Adolescent Health

   
CONFERENCE REGISTRATION FORM - PERINATAL DEPRESSION TRAINING AT CLINIC (Q4-2012) * Required Fields

LOCATION: On site at provider clinic

The purpose of the Perinatal Depression training is to train CPSP providers and practitioners about mood disorders - specifically depression - that women experience during pregnancy and postpartum. The training will also promote use of the PHQ-9 depression screening tool with use of a case study, how to implement the tool in the clinic, and resources for depression.
The CPSP Provider (MD, OB/GYN, NP) is required to attend the entire two hour training.

CONTACT: Paula Binner At (213-639-6424) Or pbinner@ph.lacounty.gov

Provider Information
* Provider Name
* Address:
* City: State:  Zip: 
*Contact Person:
* Phone:  (e.g.999-999-9999)
* Email Address:
* Select a class:
* Enter 2 hour time frame you would like to have the training: (e.g 9:30 a.m - 11:30 a.m)

Fill in all the participants will be attending the training.

*First Name *Last Name *Title/Credential *Email Address
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