Application for Designation as Certified Therapist

To become certified in Lifespan Integration in the US, please fill out and submit this form.

For UK therapists please complete the form here

Your application will be forwarded to your primary consultant. Please note that your primary consultant must be a current trainer in your country.

Information for LI therapists who wish to become consultants or facilitators

If you believe you might want to eventually become an LI consultant or a facilitator at LI trainings, the first step is to become certified. You should also let one or more of the trainers in your country know of your interest.

To view all current LI trainers in your country, visit the directory, select INSTRUCTOR, choose your COUNTRY from the drop down list, and click SEARCH.

Directory

LI trainers choose their facilitators from their group of supervisees. LI trainers decide which certified therapists have the potential to become LI supervisor/consultants. Some facilitators and consultants eventually become LI trainers. As LI therapy continues to grow and spread there is an increasing demand for qualified consultants and facilitators. If one of these roles interests you we hope you make yourself known to the trainers in your country.

Acknowledgement by Lifespan Integration Representatives

To be acknowledged by certification candidate’s Supervisor/Consultants & Certified LI Therapist

To become a certified LI therapist you must experience your own course of LI therapy with a certified LI therapist. The LI trainer/instructor you select as your primary consultant/supervisor will consult with your personal LI therapist and with your other consultant(s), and will keep you informed regarding how close you are to meeting the requirements to become certified, and what more might be needed.

We understand the investment of time and finances you are making to become certified. We intend to make you a priority in our schedules, whenever possible, in order to promote a positive and timely experience for you.

We appreciate the commitment that you are making as you enter this certification process.

We are committed to your success.

LI representatives who agree to work with certification candidates will state their agreement to the above statements in the individual contracts they make with candidates.

    Contact Information

    Your Name (required)

    Your Email (required)

    Address (optional)

    Credentials

    Degree (required)

    Professional Title Held (required)

    Professional License / Certification Board (required)

    Supervisors / Therapists

    Name of candidate’s Primary LI supervisor/consultant (required):

    The primary LI Supervisor/Consultant or Instructor will go over the forms and process with the candidate during the first supervision session.

    Other LI supervisor/consultants worked with (required)

    Candidate's LI therapist (required)

    Other LI therapist (optional)

    Please indicate all levels of LI training completed and the dates completed (required)

    How many clients do you see per week on average? (required)

    Must be using Lifespan Integration therapy with a minimum of 5 clients per week on average to enter the certification process.

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    Acknowledgement of Applicant for LI Certification:
    I have reviewed the eligibility requirements and believe that I am eligible to become certified and participate in the certification process.
    I understand that the Lifespan Integration certification process requires an investment of substantial time and financial commitment.
    I understand that I may choose to discontinue the process at any time and for any reason.
    I understand that in order to become certified in Lifespan Integration I must successfully complete all the current certification requirements.
    I understand that Lifespan Integration LLC may refuse to certify any candidate if such candidate is unable, for whatever reason, to meet the certification requirements.
    I understand that I must stay up to date with the requirements established for mental health professionals in my country. I understand that my status as a certified LI therapist will end if I fail to meet or maintain these requirements.
    I give my permission for my LI therapist(s) and my LI consultant(s) to discuss my progress during the certification process with the understanding that I will be informed prior to the discussion and informed of the outcome after the discussion. The details of my personal therapy will remain confidential unless I provide written consent which includes the specific nature and boundaries of the conversation for the “committee” to discuss.
    ................................

    I have read and understand the above requirements for certification.