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The following forms (in pdf format) will give you all the information you need to begin the process of certification with IBRT. You must have Adobe Acrobat reader on your computer in order to open and view the files. You may download the free reader below.

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Application for Certification

Supplement to Application (pdf to fill out and mail or fax)
Supplement to Application (Word doc)

Written exam

Number of Sessions

Name on Certificate

IBRT Code of Ethics
Code of Ethics signature form

Reference Form

You may send a check for payment to IBRT % Holly Holmes-Meredith at 3746 Mt. Diablo Blvd. Suite #200 Lafayette, CA 94549 address, or you may pay with PayPal by clicking the link below.

First-time Certification for Individual, includes first three years: $265.00   

Two-year renewal of existing individual certification: $95.00

First-time Accreditation for Training Programs, includes first five years: $500.00

 Five-year renewal for accredited programs: $250.00

Disclainer--IBRT assumes no liability for the individual professional actions of IBRT-certified therapists or researchers.