Clinician Application

This application for clinician's looking to incorporate elements of RSB into their one-on-one visits with clients. This training IS NOT a part of our affiliate program and doesn't come with the benefits of being an RSB affiliate program.

Fields marked with an * are required.

Please verify that you have checked the “I'm not a robot” checkbox.

Please list your education information below.

Please select which training date you'd like to attend. 

January 25-26, 2024 Indianapolis, IN
April 11-12, 2024 Indianapolis, IN
May 9-10, 2024 Indianapolis, IN
July 18-19, 2024 Indianapolis, IN
September 5-6, 2024 Indianapolis, IN

Please upload your certification for review.

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