Enhancing CBT with Innovative Trial-Based Cognitive Therapy (TBCT) Techniques

Your registration for the Enhancing CBT with Innovative Trial-Based Cognitive Therapy (TBCT) Techniques: An Interactive Online Training will be confirmed after payment to Trial-Based Cognitive Therapy Institute. After registration, you will receive an email containing the instructions regarding payment.

Please, send an e-mail to Irismar Reis de Oliveira (irismar.oliveira@me.com) if you have further questions.

Pricing: $450 until April 14th; $490 until May 5th; and $510 afterwards (Special student rate: $390)

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* 1. Please provide the information below:

Full Name: *

Where you work/study: *

Address 1: *

Address 2 (optional):

City: *

State: *

Zip code:

E-mail address:

Confirm e-mail Address: *

Phone Number: *

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* 2. Background:

Psychologist

Psychiatrist

Social worker

Counselor

Psychiatry resident

PhD student

ACBT fellow/diplomate

PBTA member

Other

If you marked "other," please, specify:

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* 3. Describe your experience as a therapist. This information will help us adapt the content to the participants average experience.

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* 4. In order to sign-up to attend this workshop, I am aware that participants must be licensed or have a limited permit as a psychologist, social worker, mental health counselor, psychiatrist, psychiatric nurse, or nurse practitioner, LMFT, or they must be currently enrolled in a licensure-qualifying graduate program.

I agree

I do not agree (In this case, please, do not sign-up)