DBT for LGBTQ+ Clients Training Attestation Form

"*" indicates required fields

Participation Statement*

I participated in the training, DBT for LGBTQ+ Clients with Kim Skerven, PhD, ABPP, DBT-LBC and Jake Camp, DClinPsy on June 7, 2024 from 8:30am-4:00pm 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

Email address where you would like your CE certificate delivered.*

Can we send you information about upcoming trainings?

Yes

Signature*

By signing below, I verify that I attended this event in its entirety.

Meet our Southern Oregon DBT Providers

Get to know our DBT providers living in and serving Southern Oregon!… Read more >
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 >

DBT for LGBTQ+ Clients Training Attestation Form

DBT Training Calendar

News & Updates

Meet our Southern Oregon DBT Providers

Join the PDBTI team!

DBT CITI Part I 2024 Dates Announced!

Training Scholarships Now Available!

Get Started With Us

DBT-LBC Certified Clinicians

Join Our Mailing List!