Nursing Education & Training SHORT COURSE: SUPPORTING FAMILIES EXPERIENCING PREGNANCY LOSS Monday, 4th June 2012 0900-1630 hours Kitchener House Auditorium (299 Ryrie St, opposite Geelong Hospital ED) AIM This one-day workshop will deliver a comprehensive program designed to equip participants to feel confident to support and inform parents experiencing pregnancy loss. TOPICS Pregnancy Loss- Statistics & Definitions Provision Of Care – What Families Need, Challenges Creating Memories Rituals & Ceremonies Investigations & Autopsy – What Are The Options. Is There Financial Support Available To Families? Looking After Yourself: The Impact Of Dealing With Bereavement On The Clinician ENQUIRIES Nicole Hartney, Clinical Midwifery Educator (03) 5226 7043 [email protected] TAX INVOICE / REGISTRATION FORM rd Pregnancy Loss: Issue date 23 March 2012 Name: …............................................................……….......… Address: ...........................................................……….......… Suburb: ...….….…………..….…........Postcode…...…….....… SPEAKERS Paula Dillon, Midwife & Perinatal Loss Educator Gavin Blue, Heartfelt Photography Abbey Newman, Social Worker TBA, Centrelink Louise King, Louise King Funerals Dr Jan Pieman , Clinical Pathologist RWH FEES (GST inclusive) $143.00 per person $121.00 SWARH Employees $77.00 Barwon Health Employees TO REGISTER Please complete the attached registration form and forward with payment to: Barwon Health Nursing Education & Training PO Box 281 Geelong, VIC 3220 or fax (03) 5226 7294 Registrations close: 21st May 2012 REFRESHMENTS Morning tea and lunch will be provided. Please note on registration form if you have any particular dietary requirements. Barwon Health ABN 45 877 249 165 Payment Method Make cheques payable to: Nurse Training and Seminars Cash Money Order Cheque Visa MasterCard (please circle) Total Amount: $......................... Phone: (H) ........…………............ (W) ...................…..…..… For credit card payments, complete the following details: Email: …………………………………………….……………… ____ ____ ____ ____ Please tick if you would like to be added to our email distribution list for education brochures. Cardholder Name: ……………….…………………………………….. Employer/Depart: .........................................…….......…....… Authorising Signature:……..………………… Expiry Date: ………… Barwon Health Employee No: ..............................………..… This document becomes a tax invoice when payment is made.