Schedule an NIHP Workshop:
Spirituality & Healing in Clinical Practice

Simply fill in the information below and click the "Submit Form" button to request a workshop. Dr. Shapiro will respond shortly. Once the workshop is scheduled each participant can register individually.

You must send a check(s) for $225.00 per person for a minimum of five persons to Dr. Philip Shapiro, 1221 SW 10th Ave, #1206, Oregon 97205 to confirm your workshop. We'll e-mail your confirmation once the check(s) is received.

Please fill in all of the areas below before you submit this form.

Requested Dates:


Please give at least three possible Friday-Saturday date combinations separated by commas.

Professions in group:

Location name:


Street Address:

City:

State:

Postal (Zip) Code:

Your First Name:

Your Last Name:

E-Mail:

Telephone:


Please include area code

Names of Participants:

NIHP Privacy Policy: Northwest Institute for Healing Power (NIHP) does not share this information with any third party. It is used for the sole purpose of scheduling classes and workshops and communicating information about NIHP with registrant's permission.

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