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Julie Ortiz
jortiz@sfbhn.org
(305) 858-8776
Coordinator, Human Resources
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Provider Calendar Form
*Provider or ME Name:
*Name of Event:
*Overview (1 sentence):
*Who's Attending from Organization?
*Date:
*Time:
*Location:
*Program Area:
Adult Mental Health Treatment
Adult Substance Use Disorder Treatment
Children Mental Health Treatment
Children Substance Use Disorder Treatment
General Prevention/Outreach
Recovery-Oriented System of Care
Suicide Prevention
*Media Attending?
Yes
No
Unknown
*Virtual Option:
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No
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*Organizer Contact Email:
*Organization or Event Webpage:
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Training Calendar Form
*Name of Event:
*Organization:
*Organizer Contact Email:
*Overview (1 sentence):
*Name of Trainer:
*Trainer’s Credentials:
Continuing Education Units or Certifications Offered?
Continuing Education
Certifications
Audience
Is Program Targeted for Peers Only?
*Date:
*Time:
*Location:
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Free Training
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*Program Areas (select all that apply):
Adult Mental Health Treatment
Adult Substance Use Disorder Treatment
Children Mental Health Treatment
Children Substance Use Disorder Treatment
General Prevention/Outreach
Recovery-Oriented System of Care
Suicide Prevention
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