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Harmonize Application Form

For March 28-30, 2025 training in Gaithersburg, MD. Please take your time to answer these questions thoughtfully. Applications with quick and generic answers will not be accepted. We are seeking passionate practitioners committed to making Chinese herbal medicine a vital part of their practice. The depth and quality of your answers will inform our decision as to whether or not you are the best candidate for this training.

Last Name
  • {name}
Please confirm spelling is correct. One email address only.
Instagram handle (optional)
How did you hear about Harmonize?
If you were referred please leave their name here so that we can thank them!
  • {name}
Is CHM in your scope of practice? Yes or No.
Do you have your own clinic space? Are you working out of another practitioner's office(s) as an independent contractor, employee, subletter, etc.? Are you in control of decision-making, fee schedules, and inventory?
Please explain your current office situation in detail. Include any plans to change it and when.
  • {name}
Tell us what you think Harmonize is. What do you know about this training?
  • {name}
What inspired you to apply to Harmonize?
What SPECIFIC outcome are you hoping to achieve from this training?
  • {name}
Growth is the result of willingness to change. Are you willing to have your ideas challenged during this training regarding topics such as patient care plans, prepayment, when acupuncture is most appropriate, and how to charge for herbal medicine?
Are you ready to change? Why or why not?
  • {name}
Real talk: Adding Chinese herbal medicine to your practice so that it is effective, profitable, and with high patient compliance requires you to introduce changes to your current business model. Such as new service offerings, new pricing, and new sales techniques. CHM is a separate service with its own fee structure and not simply an add-on to acupuncture. Are you willing to make these kinds of changes to your practice right away? Please explain why or why not.
  • {name}
Due to limited seats and high demand please be sure that you have researched this training and its cost. Do you feel prepared to make this $4995 tuition investment?
Your answer does not disqualify you from applying.
  • Yes, I have researched and I am ready to pay now.
  • I'm committed, but just need some time to get the finances together.
  • Not yet. I'm looking for more information.
Finish this sentence: The reason I am absolutely committed to succeeding in this training if I get in is…
  • {name}

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