Training
Counselor, Psychologist

HeartMath Interventions Certification Program Application

Before submitting your application, please review the HeartMath Interventions Letter of Agreement, the terms of which you will need to agree to as part of the application process. Once we receive your application, a HeartMath® representative will contact you to discuss program details and answer your questions. The cost of the program that includes manual, emWave® Desktop, emWave2 and the four Transforming series books is $1,295.

We recommend that you compose your answers to the questions in a word processing program prior to completing the form and then copy and paste them into the form. Once you click the 'Submit Application' button or close your browser you will not be able to access a partially completed form so it's best to complete the entire process when you are ready to submit the form.


All fields are required for completion. If a field doesn’t apply, type in N/A.

Personal Information

  7. State/Province

    (If the address is in the US or Canada, please select a state
    or province. If not in the US or Canada, please leave blank.)


Please list the professional license(s) or credential(s) you currently hold:

  1. Type

    Number and State

    Expiration Date

  1. Type 2

    Number and State

    Expiration Date

  1. If you are a student in an academic or professional track (Masters or Ph.D. program internship), please describe the program and tell us the name and address of the institution along with the projected date of completion.

  1. If your primary goal is to use HeartMath protocols in a research or dissertation study, please provide the name and address of the institution and type of research.

  1. Where do you treat most of your clients or patients? (Please include facility name and address.)

  1. How do you describe the majority of patients/clients you treat?

    (If not applicable, please leave blank.)


Reference Contact

Please list a professional reference:

  1. Upon completion of the program you will receive a certificate. Please indicate how you prefer your name to appear on your certificate (e.g. Janet Connor, Ph.D.)

  • I have read the HMI Letter of Agreement and I agree to the terms to be executed upon registration into the HMI program.

Please add us to your e-mail "safe Sender List" (whitelist) to ensure that e-mails from IHM are delivered to your inbox (info@heartmath.org). Review our: Privacy Policy

Christiana Bishop
Manager, Qualified Instructor Programs
Telephone: (800) 711-6221
Telephone: (831) 338-8706
E-mail: christiana@heartmath.org


Jeff Goelitz
Education Specialist
Telephone: (800) 711-6221
Telephone: (831) 338-8713
E-mail: jgoelitz@heartmath.org