Get Nada Application

This guide is designed to provide you with clear and supportive instructions on completing the Nada Application for Acupuncture Detoxification Specialist training. Filling out this form online ensures a smooth submission process and helps in your journey toward certification.

Follow the steps to successfully complete the Nada Application online.

1. Click the ‘Get Form’ button to access the application form. This will allow you to open it in an online editor for easy completion.
2. Enter your personal information in the specified fields, including your first name, middle initial, last name, and any organizational affiliation you may have.
3. Provide your contact details, including your job title, mailing address (indicating home or work), city, state or province, zip or postal code, day phone, cell phone, and required email address for website login.
4. Indicate your fee selection by checking the appropriate box for either the Associate/ADS fee of $70 or the Student/Senior fee of $40. Ensure that you attach documentation if you are applying under the student or senior category.
5. Select your preferred payment method, inputting any necessary details such as credit/debit card information including card number, name on card, expiration date, and the 3-digit security code.
6. In the relevant experience section, detail your training and experience in addictions, behavioral health, or medical fields, addressing how you plan to apply the NADA protocol training.
7. List any current professional credentials or licenses you possess and respond truthfully to the disciplinary action question. If the answer is yes, attach a detailed explanation.
8. Review the certification statement to confirm that all provided information is accurate and complete, and sign the application along with the date.
9. Have your Registered Trainer complete their part of the form, including providing their name and signature, along with the date.
10. After ensuring all fields are completed, you may save your changes, download the form for your records, print a copy, or share it as needed.

Complete your Nada Application online today and take the next step in your professional journey!