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TheraPsil's MDMA-Assisted Psychotherapy Training Application

This training is available in both in-person and online formats. Please answer each question to the best of your ability. Entrance requirements are listed at the bottom of this form..

Email *

MDMA Cohort *

First Name *

Last Name *

Pronouns

Have you attended TheraPsil's Fundamentals of Psilocybin-Assisted Psychotherapy training program? *

Are you a current Member of the TheraPsil Community? *

How did you hear about TheraPsil Training? *

Contact

Phone *

Address *

City *

Province *

Postal Code *

Country *

Professional Information

Highest Level of Education *

Designation for Eligibility *

Years working full-time in designated field

Professional association or regulatory body *

Registration number *

Specializations

Personal or professional experience with psychedelics.

Is there interest psychedelic therapy in your patient population base?

About You

Who are you? *

Why are you interested in MDMA therapy training specifically? *

Do you identify as a member of an underrepresented or marginalized group? This helps us support equity, diversity, and access in our training programs.

Are there any active professional regulatory matters, complaints, or legal proceedings relevant to your clinical practice? *

Yes

No

If yes above, please provide brief details.

Are you on our Online Community & Training Portal Mighty Networks? *

Final Notes

This is an optional space to share anything else about yourself, your practice, or your interest in psychedelic-assisted psychotherapy training that you feel is important for us to know.

Entrance Requirements

Please read the following before submitting. Only practitioners who meet these requirements will be contacted.

1. Eligible designations

You must hold one of the following: a medical degree (MD, RN), a graduate degree in psychology, counselling psychology, or a closely related field (MA, Ph.D., RSW, RPN), naturopathic medicine (ND), paramedicine credentials, death doula training, osteopathic or chiropractic practice credentials (DOMP, DO, DC), or a graduate diploma in a related field.

2. Professional standing

You must be in current good standing with a professional association that has a Code of Ethics and a disciplinary body.

These requirements may be relaxed for those completing a graduate clinical degree or professional registration, or credentialed spiritual and pastoral counsellors, in situations where a cohort has remaining spots.

All applicants will be interviewed by the Director of Training and Operations before admission.

Please Note: By submitting this form you agree to receive communications from TheraPsil regarding our training programs. You may unsubscribe at any time.

Please verify your request. *