The Edith Laufer Neuropsychoanalytic Clinical Study Group, February 6

The Edith Laufer

Neuropsychoanalytic Clinical Study Group

The Neuroscience of Psychotherapy: Healing the Social Brain

Chapter 13: “The Neurobiology of Attachment,” pp. 236-261

Robert Wolf, LP, DPsa

Friday, February 6, 2:30pm-4pm, EST
via Zoom

Fill out the form to register to our event. Please remember to REVIEW your information before you press SUBMIT. You will receive an official confirmation from NPAP Database after you press SUBMIT.

Event code

How did you find out about this event?*

Enter your first and last name as you wish it to appear on your certificate.

Name*

First NameLast Name

E-mail*

Confirmation Emailexample@example.com

Phone Number

I plan to attend...*

In-person attendanceRemote/Zoom attendance

ZOOM attendees need to watch film before joining in-person discussion at 4:15pm Friday, October 17th. In order to receive secure viewing link, ZOOM attendees need to register by 2pm Wednesday, October 15th. Viewing link will be sent out at 4pm Wednesday.

Are you an NPAP*

NPAP MembersOther ProfessionalsCandidates/Students

Candidate/Student of which institute?*

CE contact hours will be granted to participants with documented attendance and completed evaluation form. It is the responsibility of the participants seeking CE hours to comply with these requirements. Upon completion, a Certificate of Attendance will be emailed to all participants. Please enter your license number and credential if you want CE hours.

Enter your license number as you wish it to appear on your certificate.
Enter license number AFTER the apostophe. Please do not erase the leading apostophe required to preserve the formatting.
Remember to INCLUDE ALL CHARACTERS in your license number, INCLUDING ZEROS.

I want CEs

YesNo

License Number

Remember to include all characters in your license number, including zeros.

Formatted LicNum

KEEP HIDDEN: (DB timerloop needs this. Also depends on proper condition setting)

Credential

LMSW, LCSW, LP (Licensed Psychoanalyst), PhD (Psychologist)

Event Selection and Payment

Please pay by selecting the correct category. A contribution is appreciated, but it does not replace the original fee for the program. Thank you for your cooperation.

My Products*

NPAP Members

$25.00

Other Professionals

$40.00

Candidates/Students

$15.00

Contributions Help Us Grow To give, click on contribution and specify amount in the box below.

$1.00 Suggested amount, $10 - $20
Item subtotal:$0.00

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Review your information by pressing REVIEW REGISTRATION. If all information is correct, then press SUBMIT on the next page. Press the BACK button to correct any erros in the registration form.