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2009 Health Literacy Conference Registration Form

Click here to download a Microsoft Word registration form to fax or mail.

IHA's Eighth Annual Health Literacy Conference May 7-8, 2009
"Health Literacy: Bridging Research and Practice"

Attendee *required    
     
*First Name
(as you would like it to appear on your name badge)

*Last Name

Credentials (RN,PH.D, M.D. etc.)

Company

Title

*Where did you hear about this conference?
 
  *Address

*City   *State
     
*Zip   *Country
     
*Work Phone    Ext
     
*Fax

*E-Mail
*If Other selected please state below
   
Check this box if you DO NOT wish to have your name and professional affiliation shared with attendees in the Program & Proceedings book. If you do not check this box, your name and affiliation will appear.
     

BREAKOUT SESSIONS
Click here for a description of each breakout session

 

 May 6, 2009

 FREE Pre-Conference Session:
Health Literacy 101: An Introduction to the Field
(check whether you plan to attend)
Attending Not Attending

 

May 7
Please Select 2 Sessions
Thursday 1- Promoting Comprehension for Research Subjects:  
 

IRB Consent / Authorization Toolkit

Thursday 2-

Using Readability Formulas Correctly: Smog, Fog, Flesch

 
 Thursday 3- Developing a Statewide Health Literacy Initiative: Panel
Thursday 4- Fixing Common Document Design Problems
Thursday 5- Improving Patient-Centered Communication and Shared 
 

Decision-Making in a Clinical Setting

May 8
Please Select 2 Sessions
Friday 1- Working with LEP Patients and Medical Interpreters
 Friday 2- Choosing/Evaluating/Implementing Health Literacy Curriculum
Friday 3- An Overview of Health Literacy Research
 Friday 4- Health Literacy in Hospital Systems: Two Case Studies
Friday 5- Numeracy: Conveying Concepts of Quantities, Time, Risk
 

If you wish to receive continuing
education credits, please fill in below

     
Type   Corresponding License No.
CE    
CHES    
CME    
DCE (Dental)    
PHARMD    
 CPE-RD    
NONE REQUESTED    

TUITION FEES
         
 

           

 

Early Bird

(on/before April 3, 2009)

Standard

 

           

 

$359

Non-Profit**

 

           

 

$329

3 or more from one Organization

 

           

 

$299

(per registrant, when registered & paid

 

           

 

 

    for at the same time.)

 

           

 
      
  
 
  Note: Registration fees go up $20 after April 3, 2009.
         
**Includes education/governments/nonprofits

Payment Method
 Please Select ONE payment method:    
Tuition Fee:  
Coupon Code    
*Payment Method:   Check P.O. Credit Card
***Bill Me ***Sending Check
P.O. Number:  
Credit Card Type:   Visa MC AmEx Discover
Credit Card # (ex. 1111-1111-1111-1111)   ---
Expires:(ex. MM-YY)   /
Name on Credit Card    
3 digit Security Code    
     
     

Make Checks Payable to: IHA, send to 501 S.Idaho St., Suite 300, La Habra, C.A. 90631 

***Must be paid in full one week prior to Conference