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Fetal Alcohol Spectrum Disorders - Center For Excellence

FAQs

Are FASDs genetic or hereditary?

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FASD Specialist for the SAMHSA FASD Center for Excellence Coauthors Article Dan Dubovsky, FASD Specialist for the SAMHSA FASD Center for Excellence, Coauthors Article about the Impact of Prenatal Alcohol Exposure on Substance Abuse Treatment Exit Disclaimer Graphic

SAMHSA 20 Years

Education/Training

Training Request Form

Required items are marked with an asterisk (*).

I. Contact Information
First Name:  *   M.I.: Last Name:  *  
Position/Title:
Organization/Agency Name:
Email Address:  
Address Type:

Address 1:
Address 2:
City:
State:  *   Zipcode:  
Country:  *  
Telephone (ex: xxx-xxx-xxxx):   * Fax:  
How did you hear about us?:  
II. General Information
Anticipated date of training:
Training location:
Anticipated length of training:
III. Audience
Expected number of participants:  
Target Audience (Please check all that apply):






















Other Healthcare Providers?: 
Other: 
IV. Purpose
Purpose of training:
 
V. Expected Outcomes
Expected outcomes of the training:
 
VI. How will the Training be Incorporated?
  
Do you anticipate needing follow-up support from the Center?:


VII. Level
What level of information is needed:


VIII. Topics
Potential training topics (please check all that apply):
























Other:
IX. Additional Information