Creating International List of Active PI-practitioners

If you are an Active PI-practitioner, and if you would like to figure on the Official ICPIT-List of Active PI-practitioners, please fill out the following form.

Your information will be kept in a database by the ICPIT-secretariat and will only be passed to the interested public in search for a Postural Integration Practitioner.

1. What is your name?

2. What is your address?

3. Are you an active Postural Integration practitioner?

Yes
No

4. Who was your PI-trainer

5. In what year did you receive your certificate both signed by ICRI (Jack Painter) and your PI-trainer?

6. What is your current address of work?

7. What is your current phone/fax number?

8. What is your current e-mail address?

9 Do you have a website? What is the URL?

10. What are your other qualifications?

11. What is your specialty? Do you work with special issues?

Thank you for taking the time to give us your information.