REGISTER Civitarese Conference

Conference

Vitality as a Theoretical and Technical Parameter in Psychoanalysis
Presented by Giuseppe Civitarese, MD, PhD with discussion by Joseph Aguayo, PhD
Camera Requirement*

I understand that I am required to keep my camera on for the duration of the event to earn CME/CEU/CE credit.
Confidentiality Agreement*

In registering for this program, I attest that I will respect the confidentiality (in accordance with HIPPA regulations) of any clinical material that is discussed during this program, that I am the only person viewing the program that I am registering for, and that I will not record this program.
Name*

First NameLast Name
Licensure*

PhysicianLicensed PsychologistLicensed Social WorkerLicensed Professional CounselorMarriage/Family TherapistStudentOther
E-mail*
Phone Number*

Area CodePhone Number
Where are you joining us from?
How did you hear about this event?
Payment*
prevnext( X )
HPS Active Member - Civitarese$120.00

HPS Student Member - Civitarese$60.00

Non-member - Civitarese$140.00

Total $0.00
Should be Empty: