25th Annual Conference Registration Info

    Your Name (required)

    Your Title (required)

    Institution or Organization (required)

    Contact Address (required)

    City (required)

    State (required)

    Zip (required)

    Telephone (required)

    Your Email (required)

    Registration Type:

    Regular TicketUM Faculty (Must provide @miami.edu email)

    Specialty professional credits required: LICENSE #

    Florida Board of Psychological ExaminersFlorida State Board of NursingMiami-Dade County Public SchoolsFlorida Board of CSW, MFT and MHCFlorida Board of MedicineFlorida Board of Occupational Therapy PracticeFlorida Board of Clinical Laboratory PersonnelMediators (Family and Dependency)

    *Once you click Send, please follow the instructions on the next page to submit payment. Your registration is not complete until payment is made.

    *University of Miami students: email

    in**@me**************.org











    to complete registration.

    DONATE NOW