Workshop Registration Form
Complete this form; then PRINT it and either fax it to 972-473-3425 or mail it to SMU Licensed Professionals Workshops; SMU-in-Legacy; 5228 Tennyson Parkway, Suite 234; Plano, TX 75024-3547.
Need help? Call 972-473-3402.
| Name | |||
| Address | |||
| City, State, Zip | |||
| Home Phone | |||
| Work Phone | |||
| To select a workshop, use the arrow to scroll down to "yes." | Workshops | Date/ Time |
Cost |
| Using Hypnotherapy in Therapy with Adults and Children | March 7, 2008; 9 am - Noon | $40 | |
| Psychological Perspectives in the Role of Forgiveness Counseling | March 14, 2008; 9 am - Noon | $40 | |
| Ethics | March 28, 2008; 9 am - 4 pm | $80 | |
| The Family and Addictions | April 18, 2008; 9 am - 4 pm | $80 | |
| Adolescent Sexuality: Those First Decisions | April 25, 2008; 9 am - Noon | $40 | |
| Juvenile Onset Bipolar Disorder | May 9, 2008; 9 am - Noon | $40 | |
| Texas Family Law | May 9, 2008; 9 am - Noon | $40 | |
| Effective Courtroom Testimony | May 9, 2008; 1 pm - 4 pm | $40 | |
| Learning the Art & Science of Negotiation | May 16, 2008; 9 am - 4 pm | $80 | |
| Family Art Therapy | Sept. 12, 2008; 9 am - 4 pm | $80 | |
| Ethical Reporting | Sept. 26, 2008; 9 am - 4 pm | $80 | |
| Sexual Counseling/Therapy | Oct. 24, 2008; 1 pm - 4 pm | $40 | |
| Marketing and Management Skills for Mental Health Practice | Nov. 1, 2008; 9 am - 1 pm Nov. 2, 2008; 9 am - 1 pm |
$100 | |
| HIPAA Privacy Rule Review | Nov. 14, 2008; 9 am - Noon | $40 | |
| HIPAA Security Rule Review | Nov. 14, 2008; 1 pm - 4 pm | $40 |
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| Name on Card (if charging): | |
| Account Number: | |
| Expiration Date: |