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Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
     
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      American Indian and
    Alaska Native
    Pediatric Height and Weight Study Website


    Welcome

    Your responses to this evaluation data are confidential and no individually-identified data will be released to agencies outside the Inter Tribal Council of Arizona, Inc. Your feedback will assist us in refining the training for future users and may also be used for research purposes. The data will be analyzed every six months to identify the status of the training. Your completion of this evaluation form signifies your consent to participate in this training.

    Please print out and submit the form with the Participant-Profile and Post-Test to receive the Continuing Medical/Education Units.

    CLICK ON THE PDF OR WORD IMAGE ICONS TO PRINT THE DOCUMENT:
    PDF icon 101 kb   ::   WORD icon 41 kb



    Send to:
    Dr. Zeenat Mahal
    Director and Epidemiologist
    Epidemiology Center
    Inter Tribal Council of Arizona, Inc.
    2214 N. Central Avenue, Suite 100
    Phoenix, Arizona 85004.
    Tel: 602. 307.1540 (Direct)
    602.258.ITCA (Front Desk)
    Fax: 602.258.4825
    E-mail: Zeenat.Mahal@itcaonline.com



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