MEMI International Certification

International Multichannel Eye Movement Integration Association

IMPORTANT! Before You Submit Your Certification Form:

Make sure you have registered for and completed one of the following clinical or non-clinical trainings: webinar course, live-streamed training, or in-person training.
Make sure you have taken and passed the training test with a score of 80% or higher.
Make sure you have completed your 10 hours of live coaching.
Make sure you have paid for your certification.

If you have completed the above requirements. Please fill out the form below to finalize your certification process.

Once you submit the form below, we will verify your information and mark your training as completed, granting you your certificate. If we have any questions, we will contact you.

First Name

Last Name

Phone

Street Address

Address Line 2

City

State

Zip Code

Upload License or Certification

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There’s a 10MB max file size limit on each uploaded file. Accepted file formats are jpg, png, pdf, gif, doc, docx, jpeg, svg.