Harm Reduction Psychotherapy Consultation Group with Dr. Andrew Tatarsky - Application
Please complete this form and the required questions. This supervision group will meet in-person from 12:15 to 1:45 p.m. once a month on Fridays on this schedule:

September 21, 2018
October 26, 2018
November 30, 2018
December 14, 2018
January 11, 2019
February 15, 2019
March 22, 2019
April 19, 2019
May 17, 2019.

Location: Meetings will be held at The Center for Optimal Living (370 Lexington Avenue, suite 500, New York, NY 10017). Fee: $900 (+ service fee of $52.22/credit card or $24.95/check)

If you have any questions, please email raltman@cfol.org or call 212.213.8905 x2.

Email address *
Name *
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Address and Phone Number *
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How did you hear about this program? *
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Have you completed the 3-day IHRP Training and/or Harm Reduction Psychotherapy Certificate Program? Or will you attend the 3-day training on 9/28-9/30/18? If so, please specify. *
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Professional Qualifications: Please list highest degree obtained, school, and date of completion. *
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Current employment *
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Areas of specialization and advanced training (if applicable). *
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Please provide your name and current date as confirmation that the information above is valid and accurate. *
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A copy of your responses will be emailed to the address you provided.
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