Registration: Exposure and Response Prevention (ERP) Virtual Intensive

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Name*

Email*

Phone

Address*

Credentials*

Occupation*

Reason for interest in OCD and ERP

Are you currently eligible for HST exemption?*

Any accommodations needed for our training? If so, please describe:

How many clients to do you see on a weekly basis?*

If you do not see clients regularly, how do you see yourself practicing ERP to bring examples to group consultation?

Registration*

I understand registration is not completed until payment is received by Collective Care Counselling

Registration Payment Method*

I will be paying by:

Workshop Session*

I will be registering for:

Total

Rate is $700+HST

Credit Card

Name

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