DBT CITI PT II 2025 Attestation Form

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Participation Statement: I participated in the training, DBT CITI PT II with Andrew White, PhD, ABPP on the following dates from 3:00pm-5:00pm PT. Please accept this as verification that I participated in the event.*
Please select each date that you attended.
Name
Example: Jane Doe, PhD, CADC I
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By signing below, I verify that I attended this event in its entirety.
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