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Certification!
Certification in Expressive Therapy Application

Name: Organization :

Address :
City, State & Zip:

Phone Numbers (Include area code:

E-Mail:
Fax: REQUIRED
Educational Institution(s) Major ... Degree ... Date...
Special comments:

DOCUMENTATION of EDUCATIONAL REQUIREMENTS

1. Minimum of a master's degree from an acredited insititution of higher education in Expressive Therapy or healthcare-related field. Candidates with exceptional credentials shall be considered by the board on an individual basis.

Education must include:

  1. Minimum of 1 semester hour credit or equivalent in Continuing Education Credit (15 hour) courses in the following areas:

  1. Music improvisation
  2. Movement/Dance Improvisation
  3. Creative Expression through Art

3. Minimum of 3 semester hour credits in anatomy & physiology.

4. Minimum of 3 semester hour credits in counseling psychology.

5. Minimum of 1 semester hour credit or equivalent in Continuing Education Credit (15 hour) courses in Multi-Modal Expressive therapy.

Please Document Educational Requirements as listed above here:
(if not yet acquired, please indicate your current plan for acquisition with time-frame)

Practical

6. 100 hours hands on clinical experience supervised by any of the following:

A. Certified or Registered Expressive Therapist

B. Licensed Psychologist

C. Licensed Professional Counselor

B. Licensed M.D.

all supervisors, except for those in category A, shall submit a signed statement of familiarity with Expressive Therapy philosophy and technique.

Please Document Practical Requirements as listed above here:
(if not yet acquired, please indicate your current plan for acquisition with time-frame)

PERSONAL TRAINING

7. 20 hours of documented personal training is required from a certified or registered Expressive Therapist.

Please Document Pesonal Training Requirements as listed above here:
(if not yet acquired, please indicate your current plan for acquisition with time-frame)

ETHICAL

8. Signed agreement to ethical standards upheld by Expressive Therapy Concepts. This is included in application packet.

Please Document Ethical Training Requirements as listed above here:
(if not yet acquired, please indicate your current plan for acquisition with time-frame)

EXAM

9. All candidates shall take an exam consisting of a written and a practical component. Exams will be be scheduled by the board.

APPLICATION FEE

10. Check for $350. made out to Expressive Therapy Concepts.

This includes the non-refundable application fee of 250. and the practical exam fee of 100.

 

 

I plan to pay via:

RE-CERTIFICATION

Certification is granted for 4 years and may be renewed by completion of 100 hours of documented Expressive Therapy Continuing Education as defined by the board, or by re-examination.

Expressive Therapy Concepts. C/O Dr. Eric Miller MT-BC, 125 Prospect St. Phoenixville, PA 19460 610-933-8145


After you have clicked APPLY above, then click purchase below if you would like to make your payment.



 

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