PSI Renewal Series 2021

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please let us know your requests and suggestions for our Renewal Series. We would love to hear your ideas. This form is also for practitioners or artists (therapists, doulas, nurse practitioners, psychiatrists, lactation consultants, yoga instructors, etc) who would like to present in PSI's 2021 renewal series. If you have questions, write to us at communications@postpartum.net

Email *

First Name

Last Name

Telephone

Presentation Suggestions

Please suggest topics that you would like to see in our PSI 2021 renewal series that focus on nurturing, self-care, expressive arts, etc. (e.g., mindfulness, story-telling, music therapy, yoga, sleep, infant massage, journaling, managing burnout, boundaries, anxiety management, dance, art....).

Suggested Topic

Would you like to be a participant or the instructor?

Participant

Instructor/Facilitator

I want to suggest somebody - please share below

Other:

Clear selection

Suggested Presenter(s) - First and Last Name ( you can suggest yourself if you are a practitioner)

Link(s) to presenter's website or social media

Please add anything else you'd like us to know, or any other questions. Thank you!

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Postpartum Support International. Report Abuse

Forms