PATCH for Providers Workshop Request
Learn how to better serve adolescents… from THEIR perspective! The PATCH for Providers Workshop is a one of a-kind experience offering health care professionals the opportunity to engage with today’s youth in a new
way. With the support of their PATCH Site Coordinator, trained PATCH Teen Educators share their authentic
insights into the concerns, preferences and realities that impact the health care experiences of today’s youth.

Providers will leave the accredited workshop with:
*90 minutes of in-person learning with teenagers trained and ready to share their wants, needs, preferences, and experiences
*Participants will explore ways to provide high-quality, youth-friendly health care services.
*Participants will acquire confidence and skills to build positive relationships and communicate
effectively with teens.
*Take-home tools and resources including brochures
and pocket cards for use in your office or clinic!  

PATCH for Providers Workshops are valued at $500 for up to 100 participants. This value includes teen educator and site coordinator time, printed materials and other resources. Currently PATCH WoCo is happy to waive the workshop fee or to offer a lower fee based on a sliding scale.

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Organization Name
Point of contact Name
Point of contact Email
Estimated Training Date
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Additional estimated training dates
Number of Individuals Participating in Workshop
Any other relevant information or considerations
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