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Maternal, Child, and Adolescent Health

   
CONFERENCE REGISTRATION FORM - CPSP CASE COORDINATION * Required Fields
A comprehensive discussion of the duties and responsibilities of the Case Coordinator, demonstrating how Case Coordination is an essential part of the patient care plan development process. Participants will explore necessary steps for making successful referrals and developing a community resource list. It is strongly recommended that participants be currently assigned as Case Coordinators.

LOCATION: Superior Court Building, 8th Floor, Conference Room B
600 So. Commonwealth Ave Los Angeles, CA 90005
Prerequisite: None Intended Audience: Anyone with CPSP Case Coordination responsibilities
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 Case Coordination: January 29, 2010, 8:30 am to 11:00 am
CPSP Case Coordination: February 19, 2010, 8:30 am to 11:00 am
CPSP Case Coordination: March 19, 2010, 8:30 am to 11:00 am
CPSP Case Coordination: April 16, 2010, 8:30 am to 11:00 am
CPSP Case Coordination: May 21, 2010, 8:30 am to 11:00 am
CPSP Case Coordination: June 18, 2010, 8:30 am to 11:00 am

* 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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