Home > Education and Training > Continuing Education Courses > Courses for 2018-2019 > Continuing Education Online Registration

Continuing Education Online Registration

For registration, information and questions, please fill out this form and click submit.

If you would like to pay on-line, continue with Paypal. You will receive confirmation of payment via email.

If you would like to pay with a check, click submit at the end of this form, but DO NOT continue with Paypal checkout. Return to the continuing education courses page, and click course registration form (pdf). Download and print the form. Fill it out and mail your check with the form to the printed address on the form.

For Questions please contact: Ms. Anne Rodems 203.562.2103 or email Arodems@wneps.org

To Register by mail, please download course registration form (pdf).

We would like your feedback about this form and registering on line.  Any comments to help us improve the site and your experience. Click here to let us know.

  • First Name *
  • Last Name *
  • Degree
    M.D.
    D.O.
    Ph.D.
    Psy.D.
    M.S.W.
    Resident (please specify below)
    Student (please specify below)
    Trainee (please specify below)
    Other (please specify below)
  • Other (please specify)
  • Professtional Setting (please check & specify where appropriate)
    University (specify department in box below)
    Psychoanalytic Institute (specify in box below)
    Hospital (specify departement in box below)
    Outpatient Setting (specify in box below)
    Private Practice
    Other (please specify in box below)
  • Please Use This Space to Specify Department, Institute Name, Hospital, Outpatient Setting or Other
  • Address *
    Street Address
    Address Line 2
    City
    State / Province / Region
    Zip / Postal Code
    Country
     
  • Phone
    (###)
    -
    ###
    -
    ####
     
  • Email
  • Course(s). *
    Clinical Experiences of Projective Identification
    Sex Therapy and Psychodynamic Principles
    Psychodynamic Perspectives on Once a Week Sessions
    Comparative Approaches to Psychoanalysis
    The Creative Analysand: Supporting Patients' Change Efforts CANC
    Hate in the Consulting Room
    Clinical Work with Gender Nonconforming Individuals
    The Appeal of Tragedy
  • Tuition *
    $ 240- Clinical Experiences of Projective Identification
    $ 480- Sex Therapy and Psychodynamic Principles
    $ 240- Psychodynamic Perspectives on Once a Week Sessions
    $ 240- Comparative Approaches to Psychoanalysis
    $ 320- The Creative Analysand: Supporting Patients' Change EffortsCA
    $ 300- Hate in the Consulting Room
    $ 360- Clinical Work with Gender Nonconforming Individuals
    $ 650- The Appeal of Tragedy
  • CME/CEC $20 PER COURSE for a certificate of credit
    CME (medical)
    CEC (social work)
  • Please Note: Tuition for residents, students and trainees is $50 per course. Please check:
    Resident
    Student
    Trainee
    Fees are not intended to discourage trainees. Please apply to Ms. Wilcox for a fee reduction if you wish to take a course but cannot afford the fee.
  • Total Amount *
    $
    Dollars
    .
    Cents
     
  • Please indicate form of payment: *
    On-line with Paypal
    I will download registration form and pay by check
    Other (please contact A. Rodems (203.562.2103)
  • Questions