Positional Plagiocephaly: the Downside of the Back to Sleep Program
Why Tummy Time Counts (A Crib Sheet for Practitioners)
October 1, 2008
The Centre at Sycamore Plaza
5000 Clark Ave, Lakewood, CA
For Driving Directions please see our website – http://www.kpsymposia.com
Registration: 8:30am – 9:00am  Program: 9:00am - 4:30pm
TOPIC & SPEAKERS:
Craniosynostosis and Torticollis: Etiology, Diagnosis and Surgical Treatment.
Andrew Wexler, MD, Kaiser Permanente, West Los Angeles
Work up and Management of Positional Plagiocephaly
Nancy Shinno MD, Kaiser Permanente, West Los Angeles
Nursing Role in Prevention of Plagiocephaly
Pamla Hoffman, RN, Kaiser Permanente, West Los Angeles
Occupational Therapy: Assessment and Treatment
Kathy Foster, OTR/L, Kaiser Permanente, Fontana
Demonstration of Change in Sleep Position for Prevention and Treatment of Plagiocephaly
and Demonstration of Occupational Therapy Exercises and Treatment of Torticollis
Kathy Foster, OTR/L, Kaiser Permanente, Fontana
Pamla Hoffman, RN, Kaiser Permanente, West Los Angeles
Molding Helmet Therapy
Glenn R. Matsushima, CPO, Prosthetic & Orthotic Group, Inc.
Register by using the new world wide website http://www.kpsymposia.com
Microsoft Internet Explorer must be used to navigate the website
Avoid the $10 processing fee and register on-line!
Registration questions call (626) 564-3082
MAILED-IN REGISTRATION FEES
If postmarked on or before September 17: registration fee $60.00
If postmarked between Sept 18 and on/before Sept 24: registration fee $85.00
Registrations postmarked after Sept 24 and walk-ins: registration fee $100.00
Walk-in registrations will be taken on a space available basis only.
If registration fee is not received by September 26, for any reason,
payment will be required on-site.
Online registration website open until September 28, 2008 at 9:00pm
Refunds will be granted until Sept 24; no refunds after that date. If paid by check, a refund in the form of a
voucher will be issued, if paid by credit card a credit will be issued; please e-mail Amanda.C.Schwartz@kp.org to
request a refund. The $10 processing fee is non refundable. If symposium is canceled, the above refund policy
will be enforced.
Course Description: This course is designed to provide an update on health care issues relevant to clinical practice.
Continuing Education Credits
Nurses: Provider approved by the California Board of Registered Nursing, Provider Number CEP751 for 6.5 contact hours.
Positional Plagiocephaly: the Downside of the Back to Sleep Program
Why Tummy Time Counts (A Crib Sheet for Practitioners)
October 1, 2008
All the requested information below is required, please fill the form out completely.
REGISTRATION INFORMATION: Registration must be accompanied by payment.
No fax registrations accepted  We are not responsible for forms sent via Interoffice mail
Please make checks payable to SCPMG
Mail to: Kaiser Permanente, 100 S. Los Robles, # 550, Pasadena, CA 91188
Attn: Professional Education
If registration fee is not received by September 26, for any reason,
payment will be required on-site.
See other page for refund policy
Please check here if you have a profile on www.KPsymposia.com
 Yes
 No
NAME
Home address
City, State & Zip
E-Mail Address
A valid E-mail address is required to receive the registration
confirmation & important symposium information
License #
Phone #
Facility name
Department
Check your title: NP
PA
CNM
Lunch Choice:  Chicken Entree
RN
 Other ____________
 Vegetarian Entree
CREDIT CARD FORM
Please check card type
 Visa
 MasterCard
Credit Card #
Expiration Date
Name on Credit Card
(please print)
Signature
Amount to Charge