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Please complete the form with as much information as possible. If you are unable to complete some fields, leave them blank.
Name of the person completing this form:
E-mail Address of the person completing this form:
The SKIP program is designed to address the program development and training needs of collaborative mental health services for children and youth seen in primary-care and healthcare settings (e.g., pediatric practices, family medicine practices).
What SKIP service(s) are you interested in exploring further? Check all that apply.
Establish a Collaborative Care, Child & Adolescent mental health services program
Enhance an existing Collaborative Care, Child & Adolescent Mental Health Services Program
Learn to properly utilize evidence based assessments and treatment
What type of organization is this training intended for?
One Primary-care or Family Practice / Mental Health Agency
More than one Primary-care or Family Practice / Mental Health Agency
Network of Primary-care or Family Practices / Linked Agencies
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