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Maternal, Child, and Adolescent Health

   
CONFERENCE REGISTRATION FORM - CPSP BASIC TRAINING * Required Fields
This class is an overview of the CPSP model of care and Title 22 (CCR) program requirements, including initial assessment, trimester reassessments, and postpartum assessment. Using a case study, participants will get hands-on experience developing an individualized patient care plan. CPSP documentation requirements are also discussed.

LOCATION: Superior Court Building, 8th Floor, Conference Room B
600 So. Commonwealth Ave. Los Angeles, CA 90005, CA 90005
Prerequisite: None Intended Audience: Comprehensive Perinatal Health Workers (CPHW) and others who provide direct perinatal care.
Registration: 8:30AM - 9:00 AM *Class Time: 9:00AM - 2:30 PM Lunch: Brown Bag Recommended
CONTACT: Christian Murillo At (213-639-6419) Or cmurillo@ph.lacounty.gov
Participant Information
* First name:
* Last name:
Position Title:
Work Organization:
* Street1:
Street2:
* City: State:  Zip: 
* Phone:   Fax:  (e.g.999-999-9999)
* Email:
* Immediate Supervisor's Name:

* Please select 1 next to the class that you would like to attend
CPSP Basic Training: January 8, 2010 8:30 am - 2:30 pm
CPSP Basic Training: March 5, 2010, 8:30 am - 2:30 pm
CPSP Basic Training: April 2, 2010, 8:30 am - 2:30 pm
CPSP Basic Training: May 7, 2010, 8:30 am - 2:30 pm
CPSP Basic Training: June 4, 2010, 8:30 am - 2:30 pm

* I have received my supervisor's approval to attend the marked session(s):
* I am available to attend any of the sessions I have marked above.
  

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