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 *

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 *

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Discount code for previous FHCi Practitioner *

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Student Registration Fee *

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USD We always appreciate additional donations, remember they are tax deductible.

FHCi Student Registration Form