Registration Form 2015 Hemoglobinopathy Course April 2-3, 2015 Please make checks payable in the amount of $100 to: Cincinnati Comprehensive Sickle Cell Center Online registration is also available at www.regonline.com/2015SCDCounselorCourse The registration and conference fee deadline is March 26, 2015. There will be no refunds for cancellations. Name Title Organization Address City, State, Zip Code Office Phone Email Please mail completed registration form with payment to: Cincinnati Children’s Hospital Medical Center 3333 Burnet Avenue, MLC 7013 Cincinnati, OH 45229-3039 Cincinnati Children’s Hospital Medical Center Lisa Shook, Cincinnati Sickle Cell Center 3333 Burnet Avenue, MLC 7015 Cincinnati, Ohio 45229-3039 Hemoglobinopathy Counselor Training Course Presented by: Cincinnati Comprehensive Sickle Cell Center Cancer and Blood Diseases Institute Cincinnati Children’s Hospital Medical Center April 2-3, 2015 Location: Cincinnati Children’s Hospital Medical Center Research Building Auditorium, Location “S” 3333 Burnet Avenue Cincinnati, Ohio 45229 Continuing Education Registration Social Work Social Work clock hours are pending for this program. Cincinnati Children’s Hospital Medical Center is an approved provider of social work continuing education credits by the State of Ohio Counselor, Social Worker and Marriage and Family Therapist Board. (RSX069302) Registration for the two-day course is $100. The course will be held from 8am - 5pm each day. All instructional materials, continuing education credits, continental breakfasts and snacks during breaks are included. Lunch is not included. Nursing Contact hours will be awarded to nurses who attend the entire program and complete an evaluation tool. Cincinnati Children’s Hospital Medical Center (OH-046, 9/1/2015) is an approved provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Disclosure The planners and presenters have declared no conflict of interest related to this program and there is no commercial support. The deadline for registration is March 26, 2015 and is limited to the first 40 participants. • Early registration is recommended. • There can be no refund for cancellations. Location & Accommodations The location of the course is at Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, Ohio 45229 in the Research Building Auditorium, Location “S”. Rooms are available at the Kingsgate Marriott Conference Center at the Cincinnati Children’s room rate. There is not a block of rooms reserved for this event. The telephone number for hotel reservations is 513-487-3800. Additional Information For more information about registration, call Lisa Shook at 513-636-7541 or email: [email protected] Course Goal Using lectures, discussion and practice sessions, this course aims to prepare clinicians and hemoglobinopathy counseling professionals to work effectively with patients with hemoglobinopathies by increasing their knowledge of hemoglobin variants. Audience Hemoglobinopathy counselors, educators, social workers, nurses and other health professionals Course Highlights • Genetics & Hematological Manifestations of SCD • Management of Clinical Issues and Advances in SCD • Thalassemias • Psychosocial Issues and Pain Management • Newborn Screening for Hemoglobinopathies • Newborn Screening Laboratory Results • Cross-Cultural Communication • Legal and Ethical Issues with Newborn Screening For directions to Cincinnati Children’s, please visit: www.cincinnatichildrens.org/visit/location/maps Hemoglobinopathy Counselor Training Course Presented by Cincinnati Comprehensive Sickle Cell Center Cancer and Blood Diseases Institute Cincinnati Children’s Hospital Medical Center Location: Cincinnati Children’s Hospital Medical Center Research Building Auditorium, Location “S” 3333 Burnet Avenue Cincinnati, Ohio 45229
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