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Level C: CLINICAL CERTIFICATION IN IPT

Application Form

The clinical certification course is designed to meet the requirements for Level C certification in IPT. Click here to review the requirements.

Pre-requisites for Level C clinical certification:

  • Completion of Clinical Training in IPT.
  • Nomination by a certified IPT Institute supervisor.

Please provide the following information:

First Name:

Last Name:

Professional Degree:

Current Affiliation:

Street Address:

City:

State:

Zip code:

Business phone number:

Alternative phone number:

Email address:

Level A training course: Completion date and location.

Level B certification: Completion date and location.

Please provide a brief description of your clinical and research training experience

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Last modification date: Fri Nov 13 09:33:07 2009
URL: https://wws.uihealthcare.com /depts/interpersonalpsychotherapyinstitute/LevelC.html