The State of Vietnamese Mental Health: Past, Present, and Future

Thank you for your interest in attending the first International Vietnamese Mental Health Association conference. The conference will be held on Thursday, October 3, 2024 and go until Friday, October 4, 2024 at the Orange County Behavioral Health Training Center 750 The City Drive S., Orange, CA 92868. A general overview of our conference can be found here: https://www.vietnamesementalhealth.org/ivmha-conference

This registration form is to collect information for attendees coming to the conference IN-PERSON ONLY. For interested attendees hoping to view online, we will aim to record selected workshops and symposiums and upload them to our social media after the conference.

This conference is co-sponsored by Orange County Healthcare Agency and fiscally sponsored by Viet-CARE.

Please contact conference@vietnamesementalhealth.org to cancel your registration if you are unable to attend. Registration must be canceled at least 1 week before the conference date (Oct 3rd, 2024), or by September 25, 2024, to receive a refund. Any cancellation made after September 25, 2024 will not be eligible for a full or partial refund.

This training is appropriate for the targeted audience specialties:  County and contract-agency Licensed Psychologists, Licensed Clinical Social Workers, Licensed Marriage and Family Therapists, Licensed Professional Clinical Counselors, and Registered Nurses. A link to the evaluation will be emailed to participants who completed the entire training 3 - 4 business days after the training. The evaluation link will be active for 3 business days after the email. Complete the evaluation only once. The Certificate of Completion (CE or CME) or Certificate of Participation (if applicable) will be available for download in exchange for completing the evaluation.

ACCOMMODATIONS

If you need a disability-related reasonable accommodation/alternative format for this training event, please contact BHTS@ochca.com beforehand. For any grievance concerning the OC Health Care Agency’s Continuing Education Program, please write to Behavioral Health Training Services at 4000 W. Metropolitan Dr., Suite 402, Orange, CA 92868 or call (714) 667-5600.

For any questions, comments, or concerns related to the conference, please email: conference@vietnamesementalhealth.org

First name

Last name

Email

Phone

Do you need interpretation support during the conference?

Yes; interpretation from Vietnamese to English

Yes; interpretation from English to Vietnamese

No

Registration Type (Choose One)

Regular Registration Professionals$150

Regular Registration Students/Community Members$35

Lunch and light refreshments will be provided both days. Please select which meal type for lunch:

Meat

Vegetarian

Food Allergies and/or Dietary Restrictions

Symposiums and workshops so far are confirmed for the community and general education.

SELECT 5: Which workshops/symposiums are you most interested in? (Rooms have limited capacity; we will do our best to match you with your interests)

Are you interested in obtaining Continuing Education (CE) credits? If so, what's your credentials?

Licensing Number

On Friday, Oct 4, we will be having an optional cultural immersion bus tour of Little Saigon after the conference from 2-4pm at an additional cost. Would you be interested in attending? We will reach out to you with more details prior to the conference.

Yes

No

Maybe