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Hello, and thank you for applying to the Restorative Wellness Solutions Program!

This is the application for Mastering the Art & Science of Gastrointestinal Healing.

Please fill out the application completely.
After you have paid the $50 USD fee, you will be redirected to our Dropbox folder to upload and send your credential certificate (no pending certifications, please). You MUST complete this part of the application to be fully considered for the course.
If you do not have a certificate, please upload a note explaining your credentials.

PLEASE NOTE: If you reside and/or practice in New York, New Jersey, Rhode Island, or outside of the United States, please reach out to us at info@restorativewellnesssolutions.com before applying to determine your testing options.

Questions? Issues? Get in touch with us.

Contact Information

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Your First Name

Last Name

Mobile Number

Country

Application

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Please note - all certification documents must be provided after you complete your payment. Once you click the "Submit" button, you will be taken to a new page where you can upload your documents.

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List any other certifications or designations.

I am Board Certified through NANP

If your certification is not in the above drop down menu, please answer the following questions. If your certification was in the drop down menu, please skip the next questions and proceed to the payment information.

What previous training do you have? Please list all relevant schools/certification programs you have completed.

In 2-3 sentences, describe your previous training

What is your primary area of focus?

Payment Information

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Billing Address

Billing Address 2

Billing City

Billing Country

Billing Zipcode

CHECK OUT WITH

Name On Card

Card Number

CVC

Please note: this $50 application fee is non-refundable.

When you click SUBMIT, you will be taken to our Dropbox folder where you will upload your credential certificate.

Questions? Need help? Get in touch with us here.

SUBMIT

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