HEALTH SUPPORT PLANNING TRAINING REQUEST FORM

Fees and Charges:
Courses are conducted on a cost recovery basis.
Course costs will be advised in the response to your request - you can then decide if you want to proceed.

Regional Office:
Name:Role:

Details of Site/Service Requesting Training:

Worksite Name:  
Proposed Venue:
Name of Contact Person for site/group:
Telephone of Contact:
Email:

Training Requested:

Program required:
Developmental Coordination Difficulty (DCD) Oral Eating & Drinking Support (OEDS) Transfers & Positioning Support (TAPS) Intro to Health Support Planning (IHSP) Continence Care Infection Control Health Care, Who Cares? Medication Management in Educ & Children's Services (MMECS) Safe Use of Medicines Medication DeBrief


Other required training, not listed in above choices:

Preferred dates and Times:
Date 1:   Time 1:
Date 2:   Time 2:
Date 3:   Time 3:

Anticipated Numbers: (Minimum)   (Maximum)