CE Course Registration and Payment Form "*" indicates required fields Registration InformationFull Name* First Middle Last Email* Enter Email Confirm Email Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe 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FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Billing Address* Same as Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Number*Are you a current student or have you ever been a student with AIHCP?* Yes No What was your student ID?* If you do not remember your student ID then type in "I do not recall my ID"Are You Currently Certified by AIHCP* Yes No Current CertificationPrerequisite(s)Profession/Career Please list your profession or career field. This helps AIHCP better develop courses and programs to fit our students' needs.Are you a registered nurse with an active license?* Yes No RN License #* As a Registered Nurse licensed to practice in ANY state in the USA, you must provide your RN license number in the area provided above. This is mandated by the Nursing Boards that have given us our CE Approved Provider Status. We cannot issue a CE certificate and CE hours unless you provide your RN license number. Please include License # and the State it was issued by.Consent* I AgreeI, the undersigned, verify that this application is complete, and to the best of my knowledge, all information provided is factual and true. I understand that failure to provide the needed information and required documentation could likely lead to delays in the processing of this application. By clicking the "I Agree" button, I acknowledge that I understand that the course or courses I am registering for are continuing education courses and that upon successful completion of the course(s) I will be awarded a CE certificate with the corresponding hours of awarded education. I understand that AIHCP is not a school, and that the course(s) I am registering for are neither college courses nor are they intended for any type of transfer credits to any schools or colleges/universities and will not be accepted toward any type of college degrees. I further understand that the cost of course tuition does not include any required textbook and I am responsible for securing my own textbook. I further understand that I have two years from the date of official enrollment into a course to complete the course. I agree that I understand the refund policy of AIHCP and that after 10 business days in a CE Course, I am not entitled to any refund of tuition paid.Comments or questionsProduct Selection and PaymentProduct* Signing up for a whole certification program Signing up for a course(s) Paying a Certification / Recertification / Fellowship fee AKH.inc Companion Certificate of Completion GC 400 Textbook, requires prior authorization before ordering. Paying an Invoice Prepaid Student Select your course(s) from the list AD 500 - Foundations of AD/HD Consulting AD 510 - AD/HD: Theory and Consulting I AD 520 - AD/HD: Theory and Consulting II AD 540 - Alternative Treatments in AD/HD Cases AD 560 - Neurofeedback and Medication Therapy AD 570 - Helping Children with Executive Functioning AD 575 - Educating Parents on AD/HD ALNC 600 - Advanced LNC 1 ALNC 620 - Advanced LNC 2 ALNC 640 - Advanced LNC 3 ALNC 660 - Advanced LNC 4 AM 500 - Anger Management Concepts and Theories AM 510 - Dealing with Child Anger AM 520 - Domestic Violence and Anger Management AM 530 - Anger in the Workplace AM 540 - Effective Techniques in Anger Management CI 500 - Crisis Intervention Theory CI 510 - Crisis Intervention Assessment and Treatment I CI 520 - Crisis Intervention Assessment and Treatment II CI 540 - Crisis and Trauma Counseling CI 560 - Crisis Intervention Treatment Planning CI 600 - Counseling PTSD and Suicidal Clients CI 610 - Counseling Victims of Violence and Disasters CM 500 - Case Management Theory and Process I CM 520 - Case Management Theory and Process II CM 545 - The Case Manager: Roles and Applications I CM 565 - The Case Manager: Role & Applications II CM 580 - Managed Health Care CM 585 - Population Health: Building a Foundation for Wellness CM 405 - Case Management and the New Health Care Law EF 500 - EFT Training Seminar for Professional Development EF 510 - EFT/Meridian Energy Tapping: Theory and Process EF 520 - Applications in EFT and Meridian Energy Tapping EF 530 - EFT and Meridian Energy Tapping: Clinical Practicum FN 190 - Psychosocial Issues in Grief and Death and Dying FN 200 - Funeral Services I: Process and Function FN 250 - Funeral Services II: Embalming and Preparation Safety FN 300 - Customer Service and Funeral Planning FN 500 - Forensic Nursing: Theory and Practice I FN 520 - Forensic Nursing: Theory and Practice II FN 540 - Forensic Nursing: Theory and Practice III FN 560 - Forensic Nursing: Applications FN 585 - Forensic Nursing Practice and Sexual Assault GC 400 - Death, Dying and Mourning GC 410 - Grief Counseling for Helping Professionals GC 420 - Grief Therapy GC 430 - Working with Grieving Children GC 500 - Complicated Mourning GC 510 - Spiritual Interventions in Grief Counseling GC 520 - Assessment and Intervention Strategies for Children GC 530 - Meaning Reconstruction in Grief and Bereavement GC 535 - Bereavement Aftercare Programs: Development and Implementation GC 540 - Counseling Individuals with Life-Threatening Illness GC 550 - Grieving Children - $150 GC 555 - Developmentally Based Creative Interventions for Children GC 560 - Adolescent Grief - $150 GC 565 - Grieving Children: A Guide in Helping Them Heal GC 570 - Current Topics in Death, Dying and Bereavement GC 575 - Pastoral Care for Complicated Grieving GC 580 - Pet Loss and Human Emotion GC 585 - Pet Loss Grief Support GC 590 - Strategies for Pet Loss Grief Support GC 595 - Pet Loss and Children GC 600 - Christian Death and Dying GC 610 - Christian Principles for Survivors of Traumatic Grief GC 620 - Contemporary Grief: Theory and Practice GC 630 - Counseling Ministry to the Bereaved GC 640 - Christian Approaches to Survivors of Suicide GC 650 - Transform Your Loss GC 670 - New Concepts in the Science of Bereavement GC 675 - Research and Clinical Practice in Grief Counseling GC 676 - Cognitive Grief Therapy GC 678 - Grief and Bereavement in End of Life Issues GC 679 - Anxiety in Long-Term Grief GC 680 - Elisabeth Kubler Ross and Grief Theory GC 681 - Grief After Suicide GC 682 - Ambiguous Grief and Cognitive Grief Therapy GC 684 - Effective Clinical Interviewing GC 685 - Counseling Hispanics Through Loss GC 686 – Family Divorce Therapy GC 687 – Perspectives on Aging GC 688 – The Seven Intentions of Mourning GC 689 – Bereavement Groups and Social Support in Grief Therapy GC 700 – Developing Grief Support Groups GC 710 – Techniques for Group Counseling GC 720 – Assisting Grief Support Groups GC 740 – Grief Support for Global Cultures & Religions GC 750 – Grief Support for People of Color GC 760 – Grief Support for LGBTQ+ Communities GC 770 – Grief Support for Individuals with Intellectual and Developmental Disabilities Right Hand List HE 500 - Health Care Educator HE 600 - Issues in Patient Health Care Education HL 400 - Legal Issues for Health Care Consulting & Malpractice I HL 410 - Legal Issues for Health Care Consulting & Malpractice II HL 420 - The Expert Witness: Role, Process & Strategic Applications HL 430 - Malpractice in Health Care Law HL 440 - Case Studies in Health Care Malpractice Consulting: Process & Applications HM 500 - Organizational Behavior HM 510 - Health Care Delivery Systems HM 520 - HR Management in Health Care HM 530 - Leadership in Health Care Management HM 540 - Budgeting and Finance for Health Care Managers HM 550 - Insurance, Reimbursement for Health Care Managers HM 560 - Principles of Health Care Quality Improvement and Management HM 565 – Applied Health Care Ethics and Law HM 570 – Ethics in Health Care Practice HM 575 – Health Care Ethics: Process & Applications HN 500 - Holistic Nursing: Theory and Practice I HN 510 - Holistic Nursing: Theory and Practice II HN 520 - Holistic Nursing: Theory and Practice III HP 460 - Nursing Health Promotion I HP 480 - Nursing Health Promotion II HYPN 200 - Hypnosis and Trance Inductions HYPN 250 - Hypnosis and Hypnotherapies HYPN 300/SM 590 – Self-Hypnosis HYPN 350 - Advanced Hypnotherapy HYPN 400 - Hypnotherapy Practicum LC 420 - Coaching, Mentoring and Consulting LC 425 - Health & Life Coaching I LC 430 - Health & Life Coaching II LC 500 - Life Coaching for Nutrition I LC 510 - Life Coaching for Nutrition II LN 400 - Legal Nurse Consulting Theory and Practice I LN 420 - Legal Nurse Consulting Theory and Practice II LN 430 - Legal Nurse Consulting Theory and Practice III LN 450 - Legal Nurse Consulting Process and Application MED 300/SM 550 - Relaxation Strategies MED 325/SM 560 - Meditation Theory and Practice I MED 355 - Meditation Theory and Practice II MED 370 - Meditative Therapy MED 380 - Energy Focused and Spiritual Meditation MED 390 - Meditation and Mind Fitness MED 400 - Mindfulness Meditation: Theory and Practice MED 415 - Relaxation and Health5 MED 420 - St. Teresa and the Interior Castle NE 420 - Nurse Educator: Process and Applications I NE 440 - Nurse Educator: Process and Applications II NM 600 - Nurse Management Theory and Practice PT 450 - Needs of the Dying PT 460 - Physical, Emotional and Pastoral Care of Dying Patient PT 470 - Bereavement Ministry and Support Groups PT 480 - Pastoral Response to Variables in Grief and Thanatology PT 490 - Pastoral Care of Families of the Dying PT 500 - Death, Dying and World Religions SA 500 - Substance Abuse: Theory and Practice SA 510 - Foundations of Addictions Counseling SA 520 - Addiction Intervention and Treatment SA 530 - Substance Abuse and Family Recovery SA 540 - Addiction and the Brain SA 550 - Cognitive Approaches to Addiction Treatment SA 560 - Ethics in Substance Abuse Counseling SA 570 - Addiction Treatment Planning SA 600 - Enhance Motivation for Change in Treatment SA 605 - Counselor Competencies SC 400 - Path of Light SC 405 - When Bad Things Happen: The Existence of Evil SC 410 - Working with the Angelic Realm SC 500 - Prayer and Meditation in Spiritual Counseling SC 510 - Divine Communication and Guidance SC 520 - Abundance and Prosperity Counseling SC 530 - The Chakras and Healing SC 540 - Counseling for Spiritual Solutions SC 550 - The Science of Mind SC 560 - Intuitive and Energy Healing SC 570 - Christian Counseling SC 580 - Spiritual Mentoring SC 590 - Exploration of the Spirit Realm SC 600 - Contemplative Prayer and Meditation SC 605 - Christian Meditation: Eastern Applications SC 610 - Spiritual Counseling for The Elderly SC 620 - Ignatian Spirituality SC 630 - Spiritual Cognitive Therapy Counseling SC 640 - Christian Orthodox Spirituality SC 650 - Christian Morality SM 500 - Intro to Stress Management SM 530 - Clinical Stress Management SM 570 - Alternative Therapies SM 580 - Post-Traumatic Stress SM 600 - Stress Management Therapy and Interventions SM 610 - Effective Stress Management Certification Program* Advanced Legal Nurse Consulting Certification Anger Management Consulting Certification Attention Deficit Consultant Certification Case Management Certification & Fellowship Child Adolescent Grief Counselor Certification Christian Grief Counselor Certification Clinical Hypnotherapist Certification Crisis Intervention Counselor Specialist Certification Eft/meridian Tapping Practitioner Certification Forensic Nursing Specialist Certification Funeral Service Associate Certification Grief Counselor Certification Grief Counseling Fellowship Grief Diversity Counselor, Certified Specialist Grief Support Group Specialist Certification Grief Support Practitioner Certification Health Care Ethics Consultant Certification Health Care Legal & Malpractice Consulting Certification Health Care Life Coach Certification Health Care Manager Certification Holistic & Integrative Health Care Specialist Certification Legal Nurse Consulting Specialist Certification Meditation Instructor Certification Nurse-patient Education Certification Nursing Management Specialist Certification Pastoral Thanatology Specialist Certification Pet Loss Grief Support Specialist Certification Spiritual Christian Counselor Certification Spiritual Counselor Certification Stress Management Consultant Certification Substance Abuse Practitioner Certification Certification Fee With* US Domestic Shipping and Handling International Shipping and Handling Certification / Recertification / Fellowship Fee With* US Domestic Shipping and Handling International Shipping and Handling What is the name of the company/person who prepaid for your registration Please briefly tell us who paid for your course or certification program. This will help us administratively match their payment to your registrationDescription* Write in what this charge is for.Amount to be Charged* Write in the total cost on your invoiceTotal Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name