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Maternal, Child, and Adolescent Health

   
CONFERENCE REGISTRATION FORM - CPSP ASSESSMENT AND CARE PLAN * Required Fields
Participants will learn how to administer the Initial CPSP Assessment/Reassessment and Postpartum Assessment tools. Using a case study along with CPSP Protocols and Steps to Take Guidelines, patient problems and strengths will be identified and problems will be prioritized in order to develop an effective individualized patient care plan.

LOCATION: Superior Court Building
600 So. Commonwealth Ave. Suite 800, Los Angeles, CA 90005
Prerequisite: CPSP Basic Training Intended Audience: Comprehensive Perinatal Health Workers (CPHW) and others who provide direct perinatal care
Conference Room B Registration is on a first come first served basis. Registration limited to two persons per provider office. Please complete and fax registration form to (213) 639-1034 For additional information, call (213) 639-6419
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 Assessment and Care Plan: January 15, 2010, 8:30 am to 2:30 pm
CPSP Assessment and Care Plan: February 12, 2010, 8:30 am to 2:30 pm
CPSP Assessment and Care Plan: March 12, 2010, 8:30 am to 2:30 pm
CPSP Assessment and Care Plan: April 9, 2010, 8:30 am to 2:30 pm
CPSP Assessment and Care Plan: May 14, 2010, 8:30 am to 2:30 pm
CPSP Assessment and Care Plan: June 11, 2010, 8:30 am to 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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