Feeding and Nutrition 101—The Connection Between Feeding, Relationships, & Behavior Diane Cullinane, M.D., Developmental Pediatrician Friday, June 12, 2015 9:00 am—4:30 pm Registra on at 8:30 am Julie Miller, MOT, OTR/L, SWC, Head of Occupa onal Therapy and Feeding Programs LaJoi Johnson‐Huff, PsyD, Registered Psychologist Head of Psychology & Counseling Services Jonae Perez, RD, Die an Early Bird Discount: $99 (ends 5/15/15) Standard Registra on: $119* *Special pricing is available for family & child care centers— contact us for more informa on Con nuing Educa on: $15 (6 hours credit available for Psychologists, LCSW, LMFT, LPCC, and LEPs) Los Angeles Child Guidance Clinic 3787 S. Vermont Ave, Los Angeles, CA 90007 *Parking is off‐site, $10 cash only. **Lunch is on your own, only light snacks are available. Ideal for teachers, home visitors, early interven onists, therapists, caregivers ...anyone who work with children 0‐5 This beginning level workshop, presented by PCDA’s interdisciplinary team (MD, die cian, occupa onal therapist, psychologist) will cover typical developmental ea ng and feeding progression, early feeding issues (reflux, allergies), feeding issues in children who are medically fragile, how to address feeding challenges in children on the au sm spectrum, the impact of trauma on ea ng behaviors, and how to address toddler dietary and food behavior issues (e.g., hoarding, selec ve diets). All of these topics will be discussed in the context of building healthy rela onships, within a DIR approach to feeding, and emphasize the importance of posi ve rela onships in promo ng healthy ea ng. Par cipants will gain strategies to work with parents and learn guidelines for helping children develop and maintain healthy ea ng behaviors. Funding Provided by The California Endowment For Schedule and Learning Objectives, visit us at www.EITraining.org Please contact Michelle Salazar for registration information and questions: Email: [email protected] Phone: (323) 373‐2400 x3330 Fax: (323) 334‐2261 Feeding and Nutrition 101—The Connection between Feeding, Relationships and Behavior THREE WAYS TO REGISTER REGISTER ONLINE AT WWW.EITRAINING.ORG FILL OUT THIS FORM AND FAX with credit card information to (323) 334‐2261 FILL OUT THIS FORM AND MAIL with check or credit card information to: Los Angeles Child Guidance Clinic Attn: Michelle Salazar 3031 S. Vermont Avenue Los Angeles, CA 90007 REGISTRATION FORM PAYMENT METHOD: CHECK OR CREDIT CARD PLEASE PRINT CLEARLY: NAME: _______________________________________________ CREDIT CARD AGENCY: ____________________________________________ NAME: _______________________________________________ EMAIL: _______________________________________ CARD NUMBER: ______________________________________ (as appears on card) (for confirmation) (VISA, MASTERCARD, DISCOVER) ADDRESS: ____________________________________________ BILLING ADDRESS:______________________________________ CITY/STATE:__________________________ ZIP: __________ . ______________________________________________________ PHONE:____________________ FAX: ____________________ ___________________________________ ZIP:_______________ LICENSE #: __________________________________________ CARD TYPE: ______________________ EXP DATE: _______ I AM PART OF A GROUP: YES / NO CVC (last three digits on back of card): ____________ FOR GROUP DISCOUNT SEE INVOICE : SIGNATURE: _________________________________________ “____________________________________________________” Early Bird: $99 (before 5/15/2015) I accept the Total Due below onto my charge card. If I am paying for multiple registrants I will write the Total Amount to be billed to me instead. Regular Fee*: $119 AND CE: $15 If you are a Licensed Psychologist, Licensed Marriage & Family Therapist, Licensed Clinical Social Worker, Licensed Professional Clinic Counselor or Licensed Educational Psychologist and would like to receive CONTINUING EDUCATION CREDITS please check: “CE” above. *Special Pricing is available for family and child care centers. *Please make checks payable to Los Angeles Child Guidance Clinic. TOTAL DUE: $ __________ **If check is not enclosed, please write “check to follow”. ***Registering serves as a placeholder; seat is not guaranteed until payment is received. ****10% administration fee will be charged for cancellations and check or credit card refunds, which must be submitted in writing at least one week prior to training. No refunds or transfer credits for cancellations made within one week of training. Continuing Education: This training meets the qualifications for 6 hours of continuing education for licensed psychologists, licensed marriage and family therapists, licensed clinical social workers, licensed professional clinical counselors, and licensed educational psychologists as required by the California Board of Behavioral Sciences (CE provider #PCE3929) and the California Board of Psychology. If you arrive past 9:00 am or leave early, no CE credits will be given. The Los Angeles Child Guidance Clinic is approved by the American Psychological Association to sponsor continuing education for psychologists . The Los Angeles Child Guidance Clinic is the sponsor of this program and maintains responsibility for this program and its content. California Infant-Family & Early childhood Mental Health Core Competencies: This training provides 6 hours of core competency credit for Core Providers and Mental Health Specialists as specified by the California Training Guidelines and Personnel Competencies for Infant-Family and Early Childhood Mental Health.
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