PDBTI Training Registration

Are you registering for an individual or a group?
Group registration available for groups of 3 or more. All others please use the individual registration form.
- Individual Registration
- Group Registration

Group Registration
Group Registration: Please select the event you would like to register your team for.
For more information on any of these events, please visit our training page. https://www.pdbti.org/dbt-training/
- DBT in a Nutshell for Adolescents and Caregivers - July 13th and 14th, 2023
- Diving into DBT Skills for Adolescents and Caregivers - August 3rd and 4th, 2023
- DBT in a Nutshell: Treating Multi-Diagnostic, Complex Individuals - August 10th and 11th, 2023
- Optimizing the Engine of DBT Individual Therapy- August 24-25, 2023
- Diving into DBT Skills - September 7th and 8th, 2023
- Optimizing Eating Disorder Treatments with DBT - September 19th and 20th, 2023
- Working Well with the Suicidal Patient: Ethics, Boundaries of Competence, Avoiding Harm, and Risk Management - September 22nd, 2023
Coupon Code
Agency
Please tell us the name of the agency or group that you are registering. If you are registering a group that is in private practice, please specify "Private Practice."
Primary Group Contact*
Please add the name of the primary contact responsible for registering your group.
First Last
Primary Group Contact Phone Number
Primary Group Contact Email Address

Attention Yahoo Users! Portland DBT Institute is working on becoming an approved "bulk mailer" with yahoo.com to avoid delayed or failed email delivery. For now, please use a non-Yahoo address to ensure you receive important information about your registration.
Please enter the number of attendees you are registering.*
Group registration requires a team of 3 or more.
Please enter a number greater than or equal to 3.
Please list all attendees, including the primary contact if they are attending.
To add each additional individual, please use the plus sign on the right.
First name Last name Email address Degree / Licensure Direct contact number
Total
$0.00

If you are experiencing technical difficulties completing this form or would like to register by phone, please contact Brianna Johnson, 503-290-3297 or training@pdbti.org.

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First name	Last name	Email address	Degree / Licensure	Direct contact number