Postpartum Resource Center of New York

PMAD TRAINING

POSTPARTUM RESOURCE CENTER OF NEW YORK

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Pregnancy and Postpartum Depression/Anxiety

Note: This page is for Long Island Head Start / Patchogue staff registrants of the PMAD Training to be held on August 26, 2021.

Registrants

Registrants, please complete and submit the form below in advance of the training. Thanks!

Name

First

Last

Business/Organization

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Mobile Phone

E-mail

Your name (and your credentials) as you would like it to appear for Certificate of Completion

Please list how you would like your name (with your credentials) to appear on the Certificate of Completion.

What are you seeking to achieve with completing this training?

What has been your experience to date with supporting women and families with perinatal mood and anxiety disorders?

Any additional comments/questions.

Would you be interested in learning more about continuing education units?