HA Brief Introduction to ISTDP July 6 New Zealand

1

Treating Depression with ISTDP

Torpedo Bay Navy Museuem
Devonport New Zealand

with

Julie Cochrane MClinPsych MAPS FCLLP

28 September 2025

10am to 3pm (NZ standard time)

$220 AUD
$110 AUD (full time students)

2

Name* This field is required.

3

Email* This field is required.

example@example.com

4

Occupation* This field is required.

5

Telephone* This field is required.

Area Code

Phone Number

6

Address* This field is required.

7

Are you a registered health professional or in your final year of training and have already completed at least one placement? * This field is required.

YESNO

8

Professional membership* This field is required.

9

Membership number* This field is required.

10

Professional qualifications* This field is required.

11

I agree to keep all information shared during this training confidential; both patient information and any personal sharing that might be made by participants* This field is required.

Yes

12

Are you a full-time student?* This field is required.Full-time student fee $110 AUD

YESNO

13

Please upload a photo of your student ideaIf you are unable to do so or any issues occur, please email contact@istdp.com.au

14

I will make full payment with registration or will pay 50% with registration and pay the remaining 50% one week before the training (remainder of payment made before 10 September 2025).* This field is required.You will receive an invoice shortly after submitting this registration form.

Yes

15

I understand that my deposit is not refundable if I decide not to join the above training due to commence 28 September 2025* This field is required.

Yes

16

Signature* This field is required.

Powered by Jotform SignClear

17

Invoice ID