Certified Health Coach

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CERTIFICATION & ACCREDITATION BOARD
A.A.D.P

2200 Market Street, Suite 803
Galveston, TX 77550-1532

(888) 764-AADP | Email: join@aadp.net

The application is for Health Coach graduates only. Please note that you will need to have a copy of your HC graduation certificate to upload to this form.

EVALUATION APPLICATION

Name*
Mailing Address for Certificate:*
Business Address (put "Same" if not different)*
Home Phone*
Phone # for client referrals (required)*
E-mail:*
Date of Birth*
SSN (Last 4 digits Only)*
Sex*
State/Country practicing or plan to practice*
Certification & Application Fee of $210.00 (U.S. Funds)

Application processing fee of $25.00 (non-refundable)
Certification fee of $185.00 (refundable if not certified)


COURSE OF STUDY FOR CERTIFICATION

Health Coach Education

Month & Year of Graduation (mm/yyyy)*
A photo copy of your HC graduation certificate*

I understand that laws may vary from one state to another.

If certified, I will become aware of, and abide by, any and all state regulations.

Accept Here*