Department of Public 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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Public Health has made reasonable efforts to provide accurate translation. However, no computerized translation is perfect and is not intended to replace traditional translation methods. If questions arise concerning the accuracy of the information, please refer to the English edition of the website, which is the official version.
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