Free and Healthy Children International

FHCi Student Registration Form

Please complete to create your online Student Profile and future Practitioner Portal
Please select one *

I am an FHCi Patron and want to learn basic Homeopathy
I am a Practitioner wanting to become certified in Homeoprophylaxis
I am a previous FHCi Practitioner and am re-certifying (You will receive a new FHCi Practitioner number)
I am a current FHCi C.HP Practitioner creating my Student Profile (You will receive a new FHCi Practitioner number)
Date & Time

FHCi Student Number
Name *

First Name Last Name
Please select all credentials that apply *
- CHom - Certificate of Homeopathy
- DCH - Diploma in Classical Homeopathy
- CCH - Certified in Classical Homeopathy by the Council for Homeopathic Certification
- MARH - Member of the Alliance of Registered Homeopaths, UK
- RSHom - Registered with the Society of Homeopaths, UK
- RSHom (NA) - Registered with the Society of Homeopaths, North America
- BHMS - Bachelor of Homeopathic Medicine and Surgery, India
- DHANP - Diplomate of the Homeopathic Association of Naturopathic Physicians
- ND - Naturopathic Physician
- CTN - Certified Traditional Naturopath
- RN – Registered Nurse
- LNP - Licensed Nurse Practitioner
- MD - Licensed Medical Doctor
- N/A - not applicable
Enter your Clinic Name:
Specialties

Family Practice Pre-Post Natal/Midwife/Doula Women's Health CEASE / Homeo-Detox Vaccine Injury Recovery Senior Care Other
Phone Number *
Enter phone number for FHCi admin contact

Fax Number
Please enter a valid phone number.
Email *
Enter the email address to use for FHCi communication/newsletters.
Enter your website
Clinic Address*

Street Address

Apartment number, Suite, etc.

CityState

Zip Code/Postal Code Country
Referred to us by:

Please let us know how you found us.
New Students: Previous Homeopathic Education (Materia Medica, Repertory, Case Taking & Philosophy) *

I am starting my homeopathic education
I have at least 125 hours or more, prerequisites are required
I have 500 hours or more of professional training and am ready for C.HP Training
Previously FHCi C.HP certified
Student Patron Agreement - through donating to FHCi I pledge: (read each statement and check the boxes) *

By completing this form, I acknowledge that my student registration fee is tax deductible. I affirm that I DO NOT represent any State or Federal agency whose purpose is to regulate and approve products. I affirm that IF I DO belong to any media outlet, I WILL NOT misrepresent any information regarding homeopathy, homeoprophylaxis (HPx), homeo-detox (HDx), or FHCi. I affirm that that through this relationship I WILL NOT carry out any mission of entrapment or investigation. I am a Practitioner seeking HPx Certification and agree to the following: (read each statement and check the boxes) * No, I am not a practitioner, I am seeking basic Homeopathy education. Yes, I am seeking HPx certification and agree. To a mutual understanding that I am a part of a growing number of families and practitioners seeking another option for immunization. Through my HPx certification process I will be representing FHCi to the public. I will be representing FHCi patron families invested in access to, and the future of, HPx. I agree to facilitate the registration of my existing clients that wish to pursue HPx as FHCi patrons. If needed I will assist my FHCi HPx clients in setting up their Patron Portal. I agree that my entries into the Patron Portal will be truthful to the best of my knowledge.
Signature *

Clear
Student Registration Fee *

USD We always appreciate additional donations, remember they are tax deductible.
Discount code for previous FHCi Practitioner
Discount Amount: $0
PayPal Fees

%
Total: $

FHCi Student Registration Form