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are eligible for the early bird rate and your name will be entered into a draw to win a four night stay at the Crowne Plaza Ottawa. Members of CPA or other provincial/territorial psychological associations who register for workshops before May 31, 2006 Visit our website for updates: www.cpa.ca OTTAWA Crowne Plaza Hotel, Ottawa, Ontario August 2, 3, and 4, 2006 Summer Institute Continuing Education Third Annual Canadian Psychological Association REGISTRATION FORM Total payment enclosed $__________ Cancellation Policy: The registration fee, less a 25 % administration fee, Method of payment (check one) cheque VISA Mastercard money order will be refunded if cancellation is Credit Card number: ___________________________________________________ Expiry date: ______ /_______ received prior to June 30, 2006. No Signature: _______________________________________________________________________________________________ refunds will be possible for cancella- tions received after June 30, 2006. ___________________ Association of Psychology of which you are a member: ____________________ ____ Name (last): ________________________________(first) ____________________________ (initial) _____ Mail or fax the completed registra- Mailing Address: _____________________________________________________________________________ tion form, along with payment to: City: _________________________ Province/Territory: ________________ Postal Code: ________________ Canadian Psychological Association Telephone: ___________________________________________ Fax: __________________________________ 141 Laurier Avenue West, suite 702 E-mail: _______________________________________________________________________________________ Ottawa, Ontario K1P 5J3 Professional affiliation (e.g. psychologist, social worker, psychiatrist) Fax: 613-745-8753 _________________________________________________________________________________________________ Tel: 888-472-0657 Name and affiliation for badge (e.g. Dr. Joe Smith, Park Lane Hospital) or 613-237-2144, ext. 360 (Ask for Raymonde or Denise) _________________________________________________________________________________________________ Email: email@example.com Dietary needs: ________________________________________________________________________ THIRD ANNUAL CPA CONTINUING EDUCATION SUMMER INSTITUTE These workshops designed to meet have been the continuing education needs August 2, 3, and 4, 2006 Other regulated of psychologists. health care prov such as psychia iders, trists or other The 2006 Summer Insitute will be held at the Crowne Plaza, located in downtown Ottawa, close to the physicians, socia l workers, nurse or occupational s Parliament Buildings and the Byward Market. The Institute will include 9 workshops, 3 run concurrently therapists, may also each day for three days. Each workshop will be accorded 5.5 CPA Continuing Education Credits. find them relevan t and are welcome to atten To make room reservations at the Crowne Plaza, please contact the hotel directly at 1-800-567-3600 d. (direct toll free) or (613) 237-3600. When making room reservations, indicate that you will be attending the CPA Continuing Education Summer Institute to ensure that you obtain the workshop room rate The early-bird workshop ($125). Room supplies are limited and you are encouraged to make your reservations as soon as possi- registration deadline is May 31st ble. CPA’s room block will be held until June 29, 2006 but it is possible that rooms will be sold out and the final deadline is July 14th. before that date! Participants are encouraged to review the hotel’s cancellation policies when making Registration will be confirmed once their room reservations. the completed registration form is Special Public Breakfast Lecture with Dr. Michael Vallis received along with payment. Rates OTTAWA Changing for Good: Overcoming the Barriers to Healthy Living include GST. Note that the member Thursday, August 3, 2006 – 7:30am to 9:30am – see www.cpa.ca for details rate is extended to members of In collaboration with the Heart & Stroke Foundation of Canada and the Canadian Diabetes Association Canadian associations of psychology, not regulatory bodies of psychology. Information about this year’s presenters and workshops can be found on our website www.cpa.ca. Dates, speakers and workshop titles are as follows, please check the appropriate box(es): MEMBER RATES Before After Wednesday August 2, 2006 Thursday August 3, 2006 Friday August 4, 2006 May 31, 2006 May 31, 2006 8:00 am to 3:00 pm 10:00 am to 5:00 pm 8:00 am to 3:00 pm 1 workshop $240.75 $294.25 Workshop 1 Workshop 4 Workshop 7 2 workshops $428.00 $535.00 Dr. Carol Falender, University of Dr. Thomas Kubiszyn, University of Dr. Helen L. Coons, Women's California, Los Angeles, A Houston, Texas, Pediatric Mental Health Associates, 3 workshops $642.00 $802.50 Competency-based Approach to Psychopharmocology and Philadelphia, Enhancing Outcomes Clinical Supervision Psychosocial Treatment: Advances, in Women with Chronic Medical NON-MEMBER RATES Issues, and Opportunities Problems 1 workshop $294.25 Workshop 2 Dr. George McCloskey, Workshop 5 Workshop 8 2 workshops $535.00 Philadelphia College of Osteopathic Dr. Thomas W. White, Training and Dr. Eric Youngstrom, Case Western 3 workshops $802.50 Medicine, Philadelphia, Executive Consulting Services, Kansas City, Reserve University, Cleveland, Functions: Definition, Assessment Suicide Risk Management: A Best Bipolar Disorder in Children and Full-time student rates and Intervention Practice Approach for Adolescents with proof of studentship Identifying Suicidal and High Risk Workshop 3 Clients Workshop 9 1 workshop $107.00 Dr. Michael Vallis, Queen Elizabeth Collaborative Health Care: Models, Barriers 2 workshops $187.25 II Health Sciences Centre, Halifax, Workshop 6 and Opportunities for Practitioners. The Challenge of the New Dr. Mark Lau, Centre for Addiction This workshop is being planned and delivered 3 workshops $267.50 collaboratively by several health professions Millenium, Managing Risk in and Mental Health, University of to include psychology, psychiatry, family Diabetes and Cardiovascular Health Toronto, Mindfulness-Based medicine, dietetics, occupational therapy and I will attend the Breakfast Lecture and Cognitive Therapy for Preventing pharmacy. Confirmed featured speakers are Depressive Relapse Drs. Jean Grenier and Marie-Hélène have registered for Workshop 4, 5 or 6 Chomienne, Hôpital Montfort, Ottawa. Breakfast Lecture Only – 25 $ Visit CPA’s website for more details.
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