4/30/15 CDPHE Urban Fund. Well Body Training Registration

Cancellation Policy

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This training requires that you meet the following prerequisites:

1) Completion of the DIMENSIONS: Motivational Interviewing for Behavior Change – Level I training;
2) OR another one- or two-day beginning level MI workshop AND have met the following core competencies:

a. Understand the stages of change;
b. Understand the MI heart set, processes, and core skills;
c. Able to recognize change and sustain talk in behavioral change conversations;
d. Able to demonstrate beginner level competency and comfort in using MI skills and strategies in the context of behavior change conversations.
Please confirm that you meet the prerequisites by typing, “Yes” in this field.*
Please confirm that you meet the prerequisites by typing, “Yes” in this field.
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(check all that apply)
- White/Non-Hispanic
- Hispanic/Latino
- Black/African American
- Asian/Asian American
- Hawaiian/Other Pacific Islander
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- Prefer not to disclose
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Please enter the county where your primary work occurs.
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Profession/Position/Role*
Which of the following terms BEST characterizes your current profession/position/role (check all that apply)
- Addictions Counselor
- Administration (e.g., billing, compliance, intake, front desk)
- Behavioral Health Paraprofessional
- Case Manager
- Health Educator
- Healthcare or Mental Health/Psychiatric Tech
- Manager/Supervisor with clinical duties
- Manager/Supervisor without clinical duties
- Mental Health or Substance Abuse Peer
- Nurse
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If you volunteer at an organization pick the role that aligns most closely to your volunteer duties.
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Affiliation*
I (do/do not) have a University of Colorado Hospital, University of Colorado School of Medicine, or Anschutz Medical Campus affiliation.
How did you hear about this program?
(check all that apply)
- Email
- Flyer
- BHWP website
- BHWP Newsletter
- Employer
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- STEPP Newsletter
- Referred by colleague or co-worker
- Other
Other*
Shipping Address*
All training materials will be sent to you a few days prior to the training. Please provide the address where you would like us to send the training packet – i.e. home address. *Note – we cannot ship to a PO Box or Mail Stop.

Street Address Address Line 2 City State ZIP Code
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DIMENSIONS: Motivational Interviewing for Behavior Change Level I Training*
Price: $675.00
DIMENSIONS: Motivational Interviewing for Behavior Change Level II Training*
Price: $675.00
Rocky Mountain Tobacco Treatment Specialist (RMTTS) Training Program*
Price: $1,200.00
DIMENSIONS: Tobacco Free Advanced Techniques v5 Training*
Price: $800.00
DIMENSIONS: Well Body Advanced Techniques v3 Training*
Price: $800.00
Total
$0.00
Coupon
How will you be paying for this training?*
- Credit Card
- Organizational Purchase Order/Check
Address for Credit Card*
Same Address as Above

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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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Behavioral Health & Wellness Program
Department of Psychiatry
University of Colorado Anschutz Medical Campus
1890 N Revere Court
Aurora, CO 80045
303.724.3713
[email protected]

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4/30/15 CDPHE Urban Fund. Well Body Training Registration

Cancellation Policy

Already have a user profile on our website?

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