DIRECTIONS FOR FILLING OUT THE LISTING FORM

Please read these directions carefully before using the link at the end to enter your listing.

The Gestalt Directory is a resource for those seeking a Gestalt therapist and a referral source for practitioners. It also serves as a way for members of the Gestalt community to locate each another.

There is no charge to be listed and those not offering clinical services (teachers/academicians, O/D consultants, students, retirees, etc.) may include themselves as long as they make their status clear.  This Directory does not include separate listings for those offering training.

The Directory operates by the honor system and we hope that all will refrain from "enhancing" their listing information. The Gestalt Therapy Network will maintain and monitor the listings. However, we cannot check on every listing submission.  It is up to Listees and prospective clients to report errors, misstatements or misleading information. Please let us know if you find any errors.  We also want to receive any suggestions or comments you may have.  Write us at: directory@gestalttherapy.net.

    "I have been a Gestalt Practitioner since . . ."
    "Training in Gestalt Practice."  The training must take place in programs or workshops designated specifically for training in some form of Gestalt Practice (e.g. Therapy, Organizational Development, Coaching, etc.)  Personal growth workshops or seminars should be listed under "Related Training and Experience."
Web Page:  Make sure your link works!

Highest earned degree / Institution/ Year graduated:  Example:  MSW/Univ. of Pennsylvania/65.  Three items - each one must be included.

State or Provincial License, Registration or Certification: Title & Number:  State, Provincial or Federal only.  NO Institute, training or other certificates.  Those belong in your "Related Training" section or in your Statement.

   
   
 TRAINING: Mishawaka Center for Gestalt Training, 500 hours, 76-79; 500 hour Intensive Program, Gestalt Institute of Cleveland, 78-79; 40 hours w/E. & M. Polster, 78;  58 hours monthly supervision w/B. Libowski, 85-86; 13 hours workshop on Gestalt Therapy with Couples and Families w/F.Tibedeau, 95.
 RELATED TRAINING AND EXPERIENCE:  6 hour workshop, Group Therapy: w/I. Balom, 86; 6 hour workshop, Narcissistic Disorders, w/H. Berringer, 86; 48 hours training and assisting at Healing the Heart Workshop w/J. Lovelorn, Jan. & Feb. 87; 15 hours professional training workshop w/B. Siegal, 90; 15 hours Dream Workshop, H. Potter 90.

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THESE ARE THE FIELDS THAT APPEAR ON THE FORM:

Practitioners Name

Business Name (if applicable)

Address

City

State or Province (must be spelled out in full)

Zip or Postal Code

Phone

E-mail

Web Page

Highest earned degree / Institution/ Year graduated

State or Provincial License, Registration or Certification: Title & Number

I have been a Gestalt Practitioner since (year)

Work Setting, Private Practice, Clinic, Organizational or Management Consulting, Coaching, Academic or University setting, other (Choose one)

Second work setting (address and phone number if applicable):

Primary language of practice

Other languages spoken:

Health/Insurance Plan Participation: Yes, No, Contact for details,

Areas of specialization

Training in Gestalt practice

Related training and experience

Statement



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