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SUMMIT 2010 Registration Form
 




Skirball Cultural Center, Los Angeles
Friday October 1  &  Saturday October 2
 2010 PRESENTERS


David G. Amaral, PhD
Distinguished Professor
Department of Psychiatry and Behavioral Sciences
Director of Research, UC Davis M.I.N.D. Institute
Bio


Linda Andron-Ostrow, LCSW
Director
Focus on All Child Therapies (F.A.C.T.)
Handout


Bruce L. Baker PhD
Distinguished Professor & Chair
Department Chair, Clinical Psychology, UCLA
Handout


Jan Blacher, PhD
Professor, Graduate School of Education
University of California, Riverside
Handout


Deborah E. Budding, PhD
Private Practice, Psychotherapy
Diplomate, American boards of Pediatric
and Professional Neuropsychology
Handout


Michael G. Chez, MD
Director, Pediatric Neurology
Sutter Neuroscience Institute & Sutter Memorial Hospital
Professor, Pediatric Neurology
University of California Davis Medical Center
Handout


Dana Chidekel, PhD
Private Practice
Handout


Pamela Clark, MA
Director, The Help Group's Village Glen School
Handout


Pamela J. Crooke, PhD, CCC-SLP
Faculty, Communicative Disorders & Sciences
San Jose State University
Social Cognitive Specialist & Speech Language
Pathologist, Social Thinking Center, TSP
Handout


Marcos Di Pinto, PhD
Pediatric Neuropsychologist
Department of Pediatric Psychology
Children's Hospital of Orange County
Handout


Jack M. Fletcher, PhD
Distinguished University Professor of Psychology
University of Houston
Handout


Alexander Gantman, PsyD
Post-Doctoral, Fellow
Department of Psychiatry & Biobehavioral Sciences
UCLA Semel Institute
Handout


Peter F. Gerhardt, EdD
Director, Upper School
McCarton School, New York
Handout


Irva Hertz-Picciotto, PhD
Professor, Department of Public Health Sciences
School of Medicine, UC Davis
Handout


Jodi Johnson, MA
Assoicate Director, Disability Resources & Educational Services
California State University Northridge
Handout


Connie Kasari, PhD
Professor, Psychological Studies in Education, UCLA
Handout



Elizabeth Laugeson, PsyD
Director, The Help Group - UCLA Autism Research Alliance
Clinical Instructor, UCLA Semel Institute for Neuroscience & Human Behavior
Handout


Philip Levin, PhD
Program Director
The Help Group - UCLA Neuropsychology Program
Assistant Clinical Professor
UCLA Semel Institute
Handout


Pat R. Levitt, PhD
Director, Zilkha Neurogenetic Institute
Provost Professor of Neuroscience, Pediatrics
Psychiatry & Pharmacy
Chair, Dept. Cell & Neurobiology
Keck School of Medicine of USC
Handout


Sandra Loo, PhD
Assistant Professor-In-Residence, Division of Child Psychiatry
Center for Neurobehavioral Genetics
David Geffen School of Medicine at UCLA
Handout


Maja J. Mataric', PhD
Professor of Computer Science, Neuroscience and Pediatrics
Founding Director, USC Center for Robotics & Embedded Systems
Director, USC Robotics Research Lab
Senior Associate Dean for Research
Viterbi School of Engin
Bio


David Miklowitz, PhD
Director, Integrative Study Center for Mood Disorders
Division of Child & Adolescent Psychiatry
UCLA Semel Institute
Handout


Julie Mosk Morris, PhD
Coordinator, Learning Disabilities Program, UCLA
Handout


Derek A. Ott, MD
Assistant Clinical Professor of Psychiatry
Division of Child Psychiatry
David Geffen School of Medicine at UCLA
Handout


Ricki G. Robinson MD
Private Practice
Developmental & Behavioral Pediatrics
Handout


Edward Roth, PhD
Assistant Dean & Director
Disability Services & Programs
University of Southern California
Handout


Fred W. Sabb, PhD
Assistant Professor, Department of Psychiatry
Principal Investigator, BrainTest Project
Semel Institute at UCLA
Handout


Jonathan Sebat, PhD
Assistant Professor, Chief
Beyster Center for Molecular Genomics of Neuropsychiatric Diseases
Department of Psychiatry
Department of Cellular & Molecular Medicine
University Of California, San Diego


Judy Van de Water, PhD
Associate Professor, Department of Internal Medicine
School of Medicine University of California, Davis
Division of Rheumatology, Allergy & Clinical Immunology GBSF
Handout


Bina Varughese, MS
Coordinator of Educational Services,
Summit View School
Handout


Louis Vismara, MD
Policy Consultant, Senator Darrell Steinberg
Board of Directors, M.I.N.D. Institute, UC Davis
Handout


Jeffrey Wood, PhD
Assistant Professor
Psychological Studies in Education, UCLA
Handout


 REGISTRATION FORM  
First Name:  Last Name: 
Profession:   Profession License:    (Required for CEU's)
 Address:
City: 
State:  Zip: 
Home Phone:  Work Phone: 
Fax:  E mail: 
 Continuing Education Credit:         (select if applicable)

Psychologist

Speech-Language Pathologist

Social Workers and MFCC/MFT

Occupational Therapist

Registered Nurse

Non-Professional

CONTINUING EDUCATION:
As per the guidelines set forth by the accrediting organizations, in order to receive creditsfor each day and your certificate for each day, you must sign in prior to the first session of the morning and MUST SIGNOUT at the conclusion of the daily program. Friday session 8 credits; Saturday session 4 credits; combined sessions 12 credits. NO PARTIAL CREDITS WILL BE GIVEN.

PSYCHOLOGIST
The Help Group is approved by the American Psychological Association (APA) to sponsor continuing education for psychologists. This course is eligible for up to 12 hours of continuing education credits (provider#1444). The Help Group maintains responsibility for the program and its content.

SPEECH-LANGUAGE PATHOLOGIST
This course has been approved for up to 12 hours of continuing education credits (provider #PDP86) by the Speech-Language Pathology and Audiology Board.

SOCIAL WORKERS AND MFCC/MFT
The Help Group is an accredited provider for continuing education credits for LCSWs and MFCC/MFT (provider #PCE940). This course meets the qualifications for up to 12 hours of continuing education credits as required by the California Board of Behavioral Sciences.

OCCUPATIONAL THERAPIST
The Help Group is approved by The American Occupational Therapy Association, Inc. (AOTA) to assign continuing education for Occupational Therapists (provider #6193). This course is eligible for up to 12 hours of CEUs. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. The Help Group maintains responsibility for the program and its content.

TEACHER
Professional development hours are available.

REGISTERED NURSE
This course has been approved for up to 12 hours of continuing education credits by the California Board of Registered Nursing (provider #13137).

 REGISTRATION FEES:         ( If the appropriate pricing is not selected, it will be selected for you based on profession and number of days attending )
Parent/Other:   Friday and Saturday  $125.00    Saturday Only  $50.00    Friday Only  $100.00   
 
Professional (CE's):   Friday Only  $145.00    Friday and Saturday  $175.00    Saturday Only  $60.00   
 
Student:   Saturday Only  $35.00    Friday and Saturday  $100.00    Friday Only  $80.00   
 
  Friday October 1
   
       Friday, Oct 1, 2010  ....   08:30: AM  -  09:45: AM
     
       Friday, Oct 1, 2010  ....   09:45: AM  -  11:00: AM
     
       Friday, Oct 1, 2010  ....   11:15: AM  -  12:30: PM
     
       Friday, Oct 1, 2010  ....   01:30: PM  -  02:45: PM
     
       Friday, Oct 1, 2010  ....   02:45: PM  -  04:00: PM
     
       Friday, Oct 1, 2010  ....   04:15: PM  -  05:30: PM
     
  Saturday October 2
   
       Saturday, Oct 2, 2010  ....   08:30: AM  -  09:45: AM
     
       Saturday, Oct 2, 2010  ....   09:45: AM  -  11:00: AM
     
       Saturday, Oct 2, 2010  ....   11:15: AM  -  12:30: PM
     
 
 Payment Information:
Card Type:   
Card Number:       CVV2 (what's this): **
Exp Date: 
Month:  ** Year:   
 
 How did you hear about the SUMMIT?

Website

Conference Posting

Email/Save the Date

Mailing

Other
     
 
 

Regional Center Vendor Number: PL0230     |     For information call (818) 779-5212
 

• • • •


For information please call
818.779.5212