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Maternal, Child, and Adolescent Health

   
CONFERENCE REGISTRATION FORM - PERINATAL NUTRITION ASSESSMENT AND INTERVENTION * Required Fields
This class is designed to increase the knowledge and assessment skills of CPSP practitioners and help them provide effective perinatal nutrition services. The anthropometric, biochemical, clinical, and dietary components of the CPSP nutrition assessment will be described and practiced. Participants will also learn how to assess a client's weight status, plot weights on a weight gain grid, and complete the Perinatal Food Frequency Questionnaire.

LOCATION: Superior Court Building, 8th floor, Conference Room B
600 S. Commonwealth Ave. Suite 800 Los Angeles, CA 90005
Prerequisites: CPSP Basic Training and CPSP Assessment and Individualized Care Plan Training Intended Audience: Comprehensive Perinatal Health Workers (CPHW) and others who provide direct perinatal patient care.
Registration is on a first come first served basis. Registration limited to two persons per provider office. Lunch: (Brown Bag Recommended)
CONTACT: Christian Murillo At (213-639-6416) 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
Perinatal Nutrition Assessment and Intervention: January 21, 2010, 8:30 am to 2:30 pm
Perinatal Nutrition Assessment and Intervention: February 18, 2010, 8:30 am to 2:30 pm
Perinatal Nutrition Assessment and Intervention: March 18, 2010, 8:30 am to 2:30 pm
Perinatal Nutrition Assessment and Intervention: April 22, 2010, 8:30 am to 2:30 pm
Perinatal Nutrition Assessment and Intervention: May 20, 2010, 8:30 am to 2:30 pm
Perinatal Nutrition Assessment and Intervention: June 17, 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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