Deafness and Mental Health Workshop

There still seems to be a lack of understanding around the impact deafness and hearing loss has on mental health, and few agencies have staff equipped to work competently with Deaf people and Sign Language interpreters. HERES YOUR CHANCE!!!

Learn about... Deaf culture, behaviour and communication styles Working in cross-cultural contexts Mental health assessments Working with Interpreters Target Audience:
Psychiatrists, GPs, counsellors, teachers, psychologists, mental health professionals, allied mental health workers, corrective services and any NGO staff.

Workshops will be held in Cairns, June 5th 2013, 9am 12pm Venue: Mental Health Executive Conference Room, GHD Building Level 2 of 85 Spence Street Cost: Charges now apply - Participants external to Queensland Health $100 plus GST - Participants internal to QH (attendance paid by QH) - $60 - Participants internal to QH (attendance not paid by QH) - $100 plus GST Please use the registration form attached and return by May 17th, 2013 Presented by: Dianne Briffa and Jennifer DAth
Deafness and Mental Health Statewide Consultation Service, Email: deafness_mhs@health.qld.gov.au Ph 07 3167 8430, Fax 07 3167 8377 Website: http://www.health.qld.gov.au/metrosouthmentalhealth/deafness/default.asp

ABN: 86 8340 68616 REGISTRATION Conference / Workshop Details Mental Health Executive Conference Room,
GHD Building, Level 2, 85 Spence Street.

FORM / REQUEST TO RAISE TAX INVOICE

Return Registration Form and payment to: Deafness and Mental Health Statewide Consultation Service PO Box 6623 Upper Mount Gravatt QLD 4122 Phone No: 07 3167 8421 For Fax No: 07 3167 8377 Queries

Date: Times:

June 5th 9am - 12am

PARTICIPANT DETAILS First Name Organisational Role Employer Name Workplace Address Telephone Invoice and Receipt to: Individual

(PLEASE ENSURE ALL BOXES ARE COMPLETED) Last Name Participant Address

Suburb

Post Code

No. & Street

Suburb / Town Fax Organisation Qld Health Entity

Post Code

WORKSHOP PRICES Participants external to Queensland Health $100 plus GST Participants internal to QH (attendance paid by QH) - $60 Participants internal to QH (attendance not paid by QH) - $100 plus GST Tax Code Participants external to Queensland Health Participants internal to QH (attendance paid by QH) Participants internal to QH (attendance not paid by QH) Cost Centre: G.L Account S0 S9 S0 GST excl GST $0.00 N/a $0.00 Invoice $ $0.00 $0.00 $0.00

450340
PAYMENT OPTIONS PAYMENT via Cheque PAYMENT via Money Order Amex Visa ______________________________ Cardholder's Name (Please print) Mastercard Expiry Date

PAYMENT via CREDIT CARD Card type: Credit Card No. Please charge $ BANK Signature CLOSING DATE:

May 17th, 2013

If you are unable to attend for any reason, please contact the Department detailed above in the "Return Registration Form and payment to:" Section

This form will become a Tax Invoice for GST when fully completed and upon receipt of the appropriate registration fees.

Please retain a copy of this form for tax purposes

D:\userdata\MCNAMA~1\temp\XPgrpwise\Deafness in Mental Health Training Reg & Payment form>Training Form Fillable