Registration form for Faculty Credit Group Consultations

ONLINE Group Case Consultation Registration with Debra Clydesdale

All Levels Faculty Credit

I look forward to supporting you.

Training levels: ALL – Faculty Level – Beginning/Intermediate/Advanced

– This consult applies to all SE levels and counts as FACULTY credit.    

Please circle the date of the Group Consult you would like to attend.

1/12/2024   FRIDAY from 2:00 pm PST to 3:30 pm PST

1/13/2024   SATURDAY from 10:30 am PST to 12:00 noon PST

2/9/2024   FRIDAY from 2:00 pm PST to 3:30 pm PST

2/10/2024   SATURDAY from 10:30 am PST to 12:00 noon PST

3/8/2024   FRIDAY from 2:00 pm PST to 3:30 pm PST

3/23/2024   SATURDAY from 10:30 am PST to 12:00 noon PST

more dates in 2024 coming soon!

– 1.5 hour Group Case Consult = to 0.5 credit hour case consult for SEP $45.00 for $1.5 hour small group case consult

– EARLY BIRD REGISTRATION PRICE – more than 30 days registration in advance – 1.5 hour Group Case Consult = to 0.5 credit hour case consult for SEP $40.00 for $1.5 hour small group case consult

 ______ I am a scholarship recipient (*early bird pricing applies – $37.50)

Please complete the following information – Cash is not accepted – All participants who have paid will receive your zoom link the day before the Consult.

 We will send you a payment link to take care of payments after you have contacted the office.

Please Contact: appts@omvitality.com or call 310-312-6759 to reserve your place in these consultations.  

Please note there is a 6 person minimum  for these consultations.

We will notify you if the consult falls below 6 to reschedule – 1 week before the consultation at the latest.