IBUM Course Registration Form
Call 480-270-6090 With Any Questions
Training Dates Available
April 17-20th, 2025
August 14-17th, 2025
November 6th-9th, 2025
January 8th-11th, 2026
Request Onsite Training (In Your Facility)
Yes, I am interested in having an IBUM Certified Trainer come to my facility to train my staff. Please send me more information.
No, I prefer to come to Scottsdale, AZ and train at RX-O2 Hyperbaric Clinics.
Applicant Information
Trainee Name
*
First Name
Last Name
Phone Number
*
Email Address
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Education and Certifications
Educational Institute
Degree/Certificate
Occupation
Company Name
Other Certifications
State Licensure (Not Required)
Explain current experience with Hyperbaric Oxygen Therapy
If you are just getting into HBOT, it is okay to list no experience.
Goals for Hyperbaric Certification
Please upload your resume/CV (Not Required)
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Do you have any disabilities, illnesses, medical conditions, personal requests, etc. that may require accommodation. (Dietary Restrictions for Lunch)
If you have any awards, recognition, certificates, please share them here:
Hyperbaric Certification applicants must be greater than 18 years of age.
I am an adult (18 years above)
I am a minor (17 years below)
Medical Facility Details
If currently working in a medical clinic or hospital, please provide the following information
Facility
Location (Country/State)
Phone Number
Supervisor
Not required
Others
How did you learn about this Hyperbaric Certification course?
Facebook
International Hyperbaric Association
Instagram
International Board of Undersea Medicine
Arizona Hyperbaric Society
Undersea and Hyperbaric Medical Society
Arizona Naturopathic Medical Association
Other
If you were referred to our training, kindly provide the name of the referring provider so we can express our gratitude for their support in promoting safe and effective HBOT
Any additional comments or information you would like to share?
Student Signature
Date Signed
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Month
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Day
Year
Date
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make your payment.
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