HMHC | Online Continuing Professional Development for Mental Health Practitioners

	First Name:*

Have you previously registered for HMHC CPD courses before, or have a University of Calgary D2L user account?*
Your account may be a 8-10 digit number (a UCID), or a user account that we have previously issued you (jane.doe.hmhc)

	Yes
	No
	Unsure

Degree:*
Educators do not meet the prerequisite for registration unless they also hold one of the following.

	Social Worker (RSW, MSW, PhD)
	Nurse (LPN, RN, MN, PhD)
	Physician (MD CCFP, MD FRCPC)
	Psychologist (MC, MEd, MA, MSc, R.Psych, PhD in counseling or clinical psychology
	Mental Health Therapist (SW, RN, Psychologist, counsellors)
	Occupational Therapist
	Counsellor (MC, MA, MEd, MSc, PhD in Counselling, Licensed clinical counselor)
	Pharmacist (BPharm)
	Post Secondary Student / Resident (for above professions)

Other:

	Place of Employment:*

	Province:* Please note: there is a $20 per module fee for participants outside of Alberta. Payment information will be emailed to you by the Registrar.

	Preferred Email:*

	Phone Number:*