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Application for HeartMath Interventions Certification

HeartMath® Interventions Certification Program Application

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

Once we receive your application, a HeartMath® representative will contact you to discuss program details and answer any questions. This program includes the Training, a Manual and four books – Transforming Anger, Anxiety, Depression and Stress. The price is $1,095 for residents in the U.S. and Canada. For all other countries the price is $1,195.

Note: The emWave® Pro technology is required for this course.

Name




Address & Contact Information






Please list the professional licenses and/or credentials you currently hold:
Include Type, Number, State & Expiration:
Where do you treat most of your clients ? Include facility and address:


Upon completion of the certification option, please indicate how you prefer your name to appear on your certificate. E.g. Janet Conner, Ph.D.

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