CERTIFICATION IN SPORTS & ORTHOPEDIC MANUAL THERAPY (CSOMT)

CERTIFICATION IN SPORTS & ORTHOPEDIC MANUAL THERAPY

FOR PHYSICAL THERAPISTS
NAME *

First Name Middle Name Last Name
ADDRESS *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
PREFERRED EMAIL *
PHONE NUMBER

Area Code Phone Number
EMPLOYER
YEARS OF PRACTICE / EXPERIENCE
REFERRAL SOURCE

IAR FACULTY / STUDENT WEBSITE APTA / TPTA E-NEWSLETTER SOCIAL MEDIA
IF REFERRED BY IAR FACULTY / STUDENT, PLEASE IDENTIFY THIS INDIVIDUAL
SELECT YOUR CSOMT COURSE *

CORE CONCEPTS - ONLINE CLINICAL MANAGEMENT: LUMBAR/SIJ CLINICAL MANAGEMENT: CERVICAL/THORACIC CLINICAL MANAGEMENT: LOWER EXTREMITY CLINICAL MANAGEMENT: UPPER EXTREMITY
FOR THE SELECTED CLINICAL MANAGEMENT COURSE(S), PLEASE INDICATE DATE AND LOCATION
Additional Comments
PLEASE COMPLETE PAYMENT TO CONFIRM PARTICIPATION IN THE COURSE.
My Products
prev next ( X )
Online Course - Core Concepts $ 695.00

CM 1: LUMBAR/SIJ $ 695.00

CM 2: CERVICAL / THORACIC $ 695.00

CM 3: LOWER EXTREMITY $ 695.00

CM 4: UPPER EXTREMITY $ 695.00

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00
loading smart payment buttons...

The payment is ready! It will be completed once you submit the form.
PRESS SUBMIT TO FINALIZE APPLICATION.
Should be Empty: