Professional Training Sign Up Form
Thank you for your interest in Northwest ADHD Treatment Center's Professional Trainings! Please fill out the information below to complete your registration. You will receive a confirmation e-mail upon successful registration.
Hello! At this time, we do not have any trainings available. Please check back soon!
Attendee Name
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First Name
Last Name
Organization
Email (your completion certificate will be sent to this e-mail address after the training)
*
example@example.com
Address (we may mail your certificate if we are unable to e-mail it to you)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
License Status
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Licensed Professional (MD, DO, PMHNP, Licensed Psychologist, LCSW, LPC, LMFT, etc)
Pre-Licensure Individual (Counseling Associate, Psychologist Resident, Practicum Student, etc.)
Enter your License type or position (e.g., MD, DO, PMHNP, Licensed Psychologist, LCSW, LPC, LMFT, Counseling Associate, Psychologist Resident, etc.):
*
What do you hope to gain from this training (optional)?
Next steps: Our staff will contact you about one week prior to the event to provide a link to the training. Please contact our training director, Alyssa Nolde, Psy.D., if you would like to enroll multiple individuals from your team or department, or if you have any questions: alyssa.nolde@nw-adhd.com.
If you purchased a licensed provider ticket type, your attendance will be monitored throughout the event. In order to receive a continuing education certificate, you must sign in on time for the training, and remain connected throughout the training. You may also be required to complete a post-training survey. Individuals who purchase a pre-licensure individual ticket will receive a confirmation of attendance that typically does not meet licensed provider continuing education requirements. Only one continuing education certificate will be provided per paid licensed provider registration. Northwest ADHD Treatment Center utilizes Google Meet virtual meeting software. Northwest ADHD Treatment Center is not responsible for software or connectivity issues that may impact your ability to attend the training.
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