Contact IFBPT by email at admin@ifbpt.org

Renewal Application Form

PAYING BY CREDIT OR DEBIT CARD?
Complete the form below and click “Submit and Pay” to send your payment electronically (either credit card or debit card)

PREFER TO PAY BY PAPER CHECK?
If you prefer to pay by sending a check, please download the renewal forms (PDF), fill them in, and send with a check to IFBPT Administrator, 1625 Mid Valley Dr. #1, Suite 126, Steamboat Springs, CO 80487. Your renewal is not complete until your payment is received.

  • CONTACT INFORMATION

    Both Credentials and Mentor/Supervisor status are renewed together in Even-Numbered years. ALL FIELDS ARE REQUIRED. Please Note: The contact information you provide will be used by IFBPT to update the online directory of credential holders and to inform you of policy changes that may affect your credential. YOU are responsible for keeping your information current. Please email change of address information to: admin@ifbpt.org or send by mail to: IFBPT Administrator, 1625 Mid Valley Dr. #1, Suite 126, Steamboat Springs, CO 80487





















  • **Please provide an email address that you check regularly. IFBPT will use this address to send news updates about IFBPT.







  • *The first year of Credential fees is included in the Credential Application Fee paid by all graduates.
  • Paying additional fees or amounts? Enter the amount in the box below.
  • ETHICS COURSE

    Please provide details on your most recently completed 3-credit IFBPT BOARD-APPROVED ETHICS COURSE:
  • CONTINUING EDUCATION CREDITS

    You must complete 10 documented hours per year/ 20 documented hours per renewal cycle. (15/30 hours for M/S renewal). Excess CE credits may not be rolled over to the next renewal cycle. No more than half of the required CE hours for each renewal cycle may be earned by self-study annotations of didactic texts acceptable for PT or APF. Enter your CE hours and sources below. If you are selected for audit you will be required to send documentation for your CE credit. You must complete a minimum 3-credit IFBPT APPROVED ETHICS COURSE every 4 years.
  • Click the “+” sign to the far right of any row to make a new blank row appear.

    Activity Date Activity Type/Course Title Presented by Sponsoring Organization Content Area/ Brief Description of course showing relevance to biblio/poetry therapy theory and practice CE Hours Claimed  
    Add a new row
  • ADVERSE ACTION AND CODE OF ETHICS STATEMENT

    The following information will be kept confidential by the credentials committee of the International Federation for Biblio/Poetry Therapy. An adverse action does not automatically disqualify one from certification or registration. However, the committee must evaluate the relevance of any such information. Please indicate whether you have had any of the following listed adverse actions, or comparable ones. If so, please provide an explanation in the EXPLANATION field below. Such information will be kept confidential and will not be stored with your application.
  • SIGNATURE AND VALIDATION

    Typing your name and dates in the fields below signifies that you agree:
  • Signature Date  
  • Signature Date  
  • Signature Date License # and State of Issue  
  • SUBMIT AND PAY

    You will be taken to our secure PayPal checkout, where you may choose to pay with a credit card, PayPal account, or E-Check. Just fill in the anti-spam requirement box, and then click the red Submit and Pay button to proceed.

For example Symbicort is used to treat asthma attacks. This drug works by relaxing muscles in the airways to improve breathing. One of the most pop medication is Viagra. Our article tell more about the symptoms of erectile dysfunction and alternatives to Viagra. It may have numerous brands, but only one ATC Code. Erectile disfunction is probably men’s most common sex disorder. Luckily many problems with sex soundness can be solved. What can why erectile dysfunction? Erectile dysfunction usually has more than one cause.

Share