For therapists certified in MLD who would
like to deepen and expand your understanding of MLD by looking at a different version. The one day course
includes a review and update of the lymphatic system and its working, a detailed look at lymphotomes and an introduction
to different MLD strokes. This is not a certification in the Casley-Smith method, but is a way to enhance your skills.
2.
For certified lymphedema therapists only: those who
have had training that meets the standards set by the Lymphology Association of North America (LANA) and who have been
treating
people with lymphedema. (Participants do not need to be CLT-LANA) The purpose of the
course is to update and to problem-solve.
Each participant will be presenting a case study (click at
bottom of page to go to case study forms). Please choose
two of your patient cases and fill out a
form for each. One of these will be selected for you to present and then
we will analyze how to
achieve the best outcome. You may choose patients whose cases were unusual or patients whose
cases seemed usual but who then had obstacles for a good outcome; cases where you did not achieve the outcome you wanted or
cases where you came up with a creative solution you would like to share.
For the presentation it will be helpful
to have photos and/or measurement logs.
No identifying information (name, face, etc) should appear on the
forms or during the presentationin order to protect the patients' privacy under HIPAA. If showing
photos of face patients, please crop the photo so that only a part of the face-the area of significant swelling-- is showing.
For full face edema, show only one side at a time.
You will be notified by April 1, 2011, which one was
chosen for you to present.
2. Name _______________________________________________________
Address _______________________________________________________
_______________________________________________________________
Email ___________________________________
Phone (day) _________________________
(night)_____________________
Professional designation: __PT __OT
__PTA ___COTA __RN __LPN ___CMT/LMT __MD __Other:____________________________________
__CLT-LANA
(Note: you do not need to be CLT-LANA to take the course)
Lymphedema Training:
__Casley-Smith ___Lerner ___Vodder __ACOLS __Klose-Norton ___Klose Training
___Norton School ___Other:
(If "other," please include a copy of your certificate
indicating that you have had 135 hours of training OR include a copy of your LANA certificate)
__Enclosed
are my two patient case forms.
__I will be sending my patient case forms at a later date
__Enclosed
is a check/money order for $175.
__Enclosed is $125 for MLD from Down Under (offered on Friday, April 29) (Sign
waiver below)
__Enclosed is $300 for both courses
Please read and sign this waiver if you are taking
MLD from Down Under.
I understand that during the course we will be practicing MLD techniques on each other. I do not
have any conditions that would make MLD contraindicated. I agree to hold harmless and release from all liability DeCourcy
Squire, CLT Courses, and Judith Casley-Smith for any adverse effects I might experience.
Signed: ___________________________________________________________________
Date ______________
Checks should be made out to "Complex Lymphatic Therapy Courses" and sent
to CLT Courses, 115 Leyden Street, Decatur, GA 30030
Please read
and sign this waiver if you are taking MLD from Down Under.
I understand that during the course we will be practicing
MLD techniques on each other. I do not have any conditions that would make MLD contraindicated. I agree to hold harmless and
release from all liability DeCourcy Squire, CLT Courses, and Judith Casley-Smith for any adverse effects I might experience.
Signed: ___________________________________________________________________ Date ______________
Checks
should be made out to "Complex Lymphatic Therapy Courses" and sent to CLT Courses, 115 Leyden
Street, Decatur, GA 30030
