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Maternal, Child, and Adolescent Health

   
CONFERENCE REGISTRATION FORM - 2014 CPSP OVERVIEW DAY 1 * Required Fields

This 8 hour class provides a general overview of the CPSP model of care as well as Title 22 (CCR) program requirements. It includes an introduction to the following: initial assessment, trimester reassessments, postpartum assessment, psychosocial mandated reporting requirements, weight gain grids, the Perinatal Food Frequency Questionnaire (PFFQ), individualized care plan development, and billing/documentation requirements.

LOCATION: Superior Court Building
600 S. Commonwealth Ave.
8th Floor, Conference Room B
Los Angeles, CA 90005
Prerequisite: None
Intended Audience: Administration, Comprehensive Perinatal Health Workers (CPHW) and other CPSP practitioners who may or may not provide direct perinatal care in Los Angeles County.
We recommend that you register for Day 1 and Day 2 at the same time to ensure you can attend both classes in the same month.

Class Time: 8:30AM - 4:30 PM
Lunch: 12:00-1:00 PM, on your own
Registration required  no walk-ins accepted. If participants arrive more than 15 minutes late, certificates of attendance may not be given.

CONTACT: Katie Balderas At (213-639-6425) Or kbalderas@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
2014 CPSP Overview Day 1: Wednesday, June 11th 8:30 AM - 4:30 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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