Education Partnership Program Application

School/ Organization Name *

Contact Name *

Title

Address *

City *

State/Province *

Zip/Postal Code *

Phone *

Fax

Email *

Website

Professional Specialty (check all that apply):

Massage/Body Work

Physical Therapy

Occupational Therapy

Chiropractic

Nursing

Osteopathic

Athletic Trainers

Institutional Type

Program Manager / Director, Executive Director / Department Head / Dean, Owner

School Accreditations

Are you affiliated with other schools?

Yes

If yes, list school

How many hours are in your full-time program? *

How many semesters/quarters do you offer per year?

Average number of students per class?

Number of students per year:

Part-time

Full-time

How many hours are required for licensure/certification by your state/locale? *

Do you currently teach the following curriculums:

CranioSacral Therapy

Number of hours

Visceral Manipulation

Number of hours

Do you currently offer continuing education units in the following curriculums:

CranioSacral Therapy

Number of hours

Visceral Manipulation

Number of hours

Does your school have presenters who trained at the Upledger Institute or Barral Institute? *

Yes

If yes, Name

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Contact Us

Have questions?

International Affiliates

Bolivia, Plurinational State of

For Upledger seminars in Bolivia, please contact Mysti Newton at mysti.newton@iahe.com.

Chile

If you are interested in bringing our seminars to healthcare professionals in Chile, please contact Mysti Newton at:

Mysti.Newton@iahe.com

China

Upledger Institute China Satellite - Mainland China

All regions except those listed below with Sponsors.

Shanghai Spinecare Rehabilitation Center

Shanghai, Beijing and other regions are being added.

Dr. Annie Feng

+86.13162938953

35529085@qq.com

Upledger Sponsor - Zhengzhou

A&B Physiotherapy

Arthur Zhao and Joann Zhang

hejukangfu@yeah.net

Upledger Sponsor - Xi'An

Rama Simon

simonwfish@hanmail.net

Colombia

For Upledger seminars in Colombia, please contact Mysti Newton at mysti.newton@iahe.com.

Costa Rica

For Upledger courses in Costa Rica, please contact Mysti Newton at mysti.newton@IAHE.com.

Ecuador

For information regarding seminars in Ecuador, please contact Mysti Newton at: mysti.newton@iahe.com.

Estonia

We do not have courses currently scheduled in Estonia. Please contact Mysti Newton at mysti.newton@iahe.com if you are interesed in helping us bring classes to Estonia.

However, we offer courses nearby in Finland. Please contact our affiliate listed below for details.

Finland Satellite

Katja Puolakka
katja.puolakka@upledger.fi
https://upledger.fi/

Germany

We are temporarily not offering Upledger CranioSacral Therapy seminars in Germany. Our previous satellite is only offering an osteopathic program that does not include Upledger CST. Please email Dawn Langnes Shear if you are interested in Upledger CST seminars in Germany.

Dawn.Shear@IAHE.com

Israel

For more information about class location and cost, or to register, contact:

Gadi Nelinger, P.T.

POB 108

Moshav Bnei Drov

Israel 45815

Phone: 972 50 8800654

gadi.neli@gmail.com

Latvia

We do not have courses currently scheduled in Latvia. Please contact Mysti Newton at mysti.newton@iahe.com if you are interesed in helping us bring classes to Latvia.

However, we offer courses nearby in Belarus, Lithuania, and Russia. Please contact our affiliates listed below for details.

Belarus and Russia

Sergey Pilavsky
pilavsky@mail.ru
http://www.ikpk.su

Lithuania

Laimona Skrabutenas
info@ikta.lt
http://www.ikta.lt

Norway

For Upledger Seminars in Norway, please contact Mysti Newton at mysti.newton@iahe.com.

Philippines

For Upledger Institute seminar in Philippines, please contact our Sponsors:

Adrian Lim and Viel Olegario-Tiu

brainerypt@gmail.com

Sri Lanka

For Seminars in Sri Lanka, please contact Mysti Newton at mysti.newton@iahe.com.

Sweden

For Upledger Seminars in Sweden, please contact Mysti Newton at mysti.newton@iahe.com.

Taiwan

For seminars in Taiwan, please contact our Affiliates:

Upledger Institute Taiwan Satellite

Taipei City and other cities are being added.

Daniel Chang

kofjuju@yahoo.com

https://www.facebook.com/BIUIINTTAIWAN

Taichung / Kaohsiung Sponsor

Sean Wang

sean50.tw@gmail.com

www.wellbalanced.com.tw

Thailand

For Upledger Institute classes in Thailand, please contact our Barral Institute Sponsor to let them know about your interest. As interest grows, we will plan to add Upledger courses.

Kanya Physical Therapy Clinic

Peach Lawmanometee - Administrator

kanya.academic@gmail.com

+662.434.4111

Turkey

If you are interested in Upledger seminars in Turkey, please contact Mysti Newton at:

mysti.newton@iahe.com.

Uruguay

For course information in Uruguay, please contact Mysti Newton at mysti.newton@iahe.com.

Venezuela, Bolivarian Republic of

If you are interested in Upledger seminars in Venezuela, please contact Mysti Newton at:

mysti.newton@iahe.com.