914-777-3909

Alumni Registration Form

January 1, 2018 – December 31, 2018

Personal Information
Professional Information
Private Practice Information to be listed on FIW Website
Payment Method* We welcome your booth payment either via PayPal or by check.
If paying by check, please make payable to "Family Institute of Westchester" and mail to:
333 Westchester Avenue
Suite E106
White Plains, NY 10604
Donation

If you would like to include an additional donation amount, enter the dollar amount in the box below:

Total: $60
Facebook
Facebook
Google+
Twitter
LinkedIn
Have Questions? Need a Referral?
Call Us: 914-777-3909 or Contact Us Online

Latest Workshops & Special Events View all Upcoming Events

The Polyvagal Theory: A revolutionary advance in understanding and treating anxiety and trauma related symptoms

March 27, 2020

The Polyvagal Theory: A revolutionary advance in understanding and treating anxiety and trauma related symptoms.The past twenty years have seen a surge of innovative therapeutic approaches in the treatment… Read more