registration form final (20190521-com) compressed...registration form final (20190521-com)...

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07 19 9:00AM 5:30PM 2 0 1 9 Speaker Application of Multiple Family Group in helping families of parents in recovery of major depression Ties that bind: Working with Trans-generation Families Handling specific target group with family-based approach The development, application and consolidation of Integrated Family and Systems Treatment in Community Mental Health Services Local practice and application of family-based intervention in different settings ( / ) ( ) Speaker AN OVERVIEW OF INTEGRATIVE FAMILY AND SYSTEMS THERAPY (I-FAST): UTILIZING FAMILY STRENGTHS IN MENTAL HEALTH TREATMENT ( ) I-FAST IN THE UNITED STATES: WHO IS USING IT AND HOW IS IT USED I-FAST AND TRAUMA-INFORMED FAMILY PRACTICE J U L Y T I M E ENQUIRIES AND REGISTRATION Email: [email protected] Tel : (852) 3552 5290 / 3552 5204 www.nlpra.org.hk/en/institute/enrollment

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Page 1: Registration Form FINAL (20190521-Com) Compressed...Registration Form FINAL (20190521-Com) Compressed. 07 199 : 00A M. 2019 5 : 30PM. |Speaker. Application of Multiple Family Group

07 19 9 : 0 0 A M5 : 3 0 P M2 0 1 9

|Speaker

Application of Multiple Family Group in helping families of parents in recovery of major depression

Ties that bind: Working with Trans-generation Families

Handling specific target group with family-based approach

The development, application and consolidation of Integrated Family and Systems Treatment in Community Mental Health Services

Local practice and application of family-based intervention in different settings

( / )

( )

|Speaker

AN OVERVIEW OF INTEGRATIVE FAMILY AND SYSTEMS THERAPY (I-FAST): UTILIZING FAMILY STRENGTHS IN MENTAL HEALTH TREATMENT

“( )

“”  

I-FAST IN THE UNITED STATES: WHO IS USING IT AND HOW IS IT USED

I-FAST AND TRAUMA-INFORMED FAMILY PRACTICE

J U L Y T I M E

ENQUIRIES AND REGISTRATIONEmail: [email protected] Tel : (852) 3552 5290 / 3552 5204 www.nlpra.org.hk/en/institute/enrollment

Page 2: Registration Form FINAL (20190521-Com) Compressed...Registration Form FINAL (20190521-Com) Compressed. 07 199 : 00A M. 2019 5 : 30PM. |Speaker. Application of Multiple Family Group

All fee shown are per person REGISTRATION DEADLINE : 12th July 2019

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Early Bird $ 700 (On or before 19th Jun, 2019) Original Price $ 800

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Family Name ** Given Name** Chinese Name (If Applicable)

*Dr. Mr. Mrs. Ms. Others *Please delete if inappropriate

** MANDATORY ITEMS**��������������� ����

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Correspondence Address

Phone Number Email Address **

Please indicate any special arrangement required

Mobile ** Office

Position ** Division/DepartmentName of Organization/ Affiliation **

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Application of Multiple Family Group in helping families of parents in recovery of major depression

Ties that bind: Working with Trans-generation Families

Handling specific target group with family-based approach

The development, application and consolidation of Integrated Family and Systems Treatment in Community Mental Health Services

Local practice and application of family-based intervention in different settings

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Please indicate your preference in order of 1 to 5

(Please tick if appropriate)

1. Bank Transfer HSBC : 018-0-074684 / HKBEA : 147-10-09911-1 Please email the receipt of bank transfer and completed enrollment form to [email protected]

2. Make crossed cheque payable to New Life Psychiatric Rehabilitation Association. Send the completed registration form and crossed cheque to : Jockey Club New Life Institute of Psychiatric Rehabilitation 332 Nam Cheong Street, Kowloon, Hong Kong

Each Participant should complete a separate form.Receipt should be issued to:

The organizers to use my personal data for promotion of services, events, fund-raising, volunteer recruitment, training courses, products and opinion collection, etc.

I agree

I disagree Signature of Participant Date

(DD)     (MM)  (YYYY)

1. Symposium information can be downloaded from the following website https://www.nlpra.org.hk/EN/institute/enrollment or contact our staff at : 3552 5290.2. Acceptance of application is made on first-come-first-served basis. 3. The symposium confirmation will be sent to participants via email at least 5 days before commencement of the symposium. Please contact us if you do not receive any notification. 4. If payment by bank transfer, there will be no refund for the overpaid. 5. Once a registration is confirmed, it will be processed and cannot be refunded for any reasons. All requests for any chance of registration must be given in writing. An administrative fee of HK$200 will be charged for any processing request. 6. Official receipt will be issued on the day of symposium.

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Email: [email protected] Tel : 3552 5204 Fax : 3552 5393