Maximizing Your Therapeutic Toolbox: An Intro to the Unified Protocol for Adolescents Attestation Form

Participation Statement*
I participated in the training, Maximizing Your Therapeutic Toolbox: An Intro to the Unified Protocol for Adolescents, with Niza Tonarely-Busto, PsyD on February 14, 2024, from 12:00pm-1:00pm PT. Please accept this as verification that I participated in the event in its entirety.
- I have read and agree to the statement above.
Name
First Last
Profession/Discipline:
On the line below, please enter your full name and licensure, EXACTLY as you would like it to appear on your CE certificate.*
Example: Jane Doe, PhD, CADC I
Hidden
I confirm the single line above contains my name and licensure exactly as I want displayed on my CE certificate.
- Yes, I confirm that the line above contains exactly what will be shown on my CE certificate.
Email address where you would like your CE certificate delivered.*
Can we send you information about upcoming trainings?
- Yes
- No
Signature*
By signing below, I verify that I attended this event in its entirety.

Join the PDBTI team!

We are proud of the work we do together and of the… Read more >
DBT CITI Part I 2024 Dates Announced!

DBT CITI: Comprehensive Implementation & Training Intensive Part I dates have been… Read more >
Training Scholarships Now Available!

We have developed a DBT training scholarship with the goal of reducing… Read more >
Resources While You Wait

You are not alone. Being on a waitlist for mental health care… Read more >