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Your Information
Graduation Information
Name of Institute from which member graduated:
Please upload a copy of your proof of graduation (certificate/diploma/degree)
 
Regulatory Information
Select the regulatory college (s) you are a member of:
College of Registered Psychotherapists of Ontario
College of Nurses of Ontario
College of Occupational Therapists of Ontario
College of Physicians & Surgeons of Ontario
College of Psychologists
College of Social Workers & Social Service Workers
Nova Scotia College of Counselling Therapists
Ordre des conseillers et conseillères d’orientatio
Ordre des psychologues du Québec
The Association of Counselling Therapy of Alberta
The College of Counselling Therapists of New Brun.
College of Counselling Therapy PEI
Please select the province you practice / intend to practice in:
Contact Information
CAPT regularly produces various electronic communications for members such as “CAPT Bulletins” and “CAPT Networker”. We would like your consent to share such electronic communications with you.
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Additional Information
Terms & Conditions
By submitting this application:

I confirm that the information in this form is accurate and up to date and that the information in my CAPT profile (if public) is also accurate and up to date.

I undertake to promptly inform CAPT and my liability insurance representative if a formal complaint is made against me.

If my status with the CRPO (or other recognized regulatory college) changes, I will notify CAPT immediately at membership@psychodynamiccanada.org

I agree to CAPT's Code of Ethics.


Disclaimer
By participating in any of CAPT’s workshops, study groups, mentoring, coaching and/or lectures, I acknowledge that the material is for supportive and educational purposes only and that CAPT is not responsible for individual outcomes.

Opinions or points of view expressed represent the view of the presenter or the workshop facilitator or mentor/coach. At all times, CAPT directs its members to seek guidance, advice and training from the appropriate accredited sources.
Membership Level
Please note your application is reviewed upon submission. The CAPT membership period runs from January 1 to December 31. Fees are annual and non-refundable.
Full Member Dues
more info
$160.00
 
Total:
$160.00
Due Now:
$160.00
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