Registration Form
Healing Touch Level 2
                                                             Piedmont, OK 73078
                                                             13106 La Cresta Drive
                                                             Healing Touch Oklahoma
               Oklahoma City, OK
         Integris Baptist Medical Center
               August 21-22, 2010
                9:00 am – 6:00 pm
Name
Address
                                                                                            HTI HEALING TOUCH
City ______                 State ____ Zip ____ _____
                                                                                           CERTIFICATE PROGRAM™
Home Phone
                                                                                                   for Health Care Professionals
Cell Phone                                                                                       and Others Committed to Healing
Email
                                                                                                               Level 2
 Investments received by August 1, 2010                                                                Oklahoma City, OK
  Course Investment – $275
  HTI, AHNA, ONA/OSNA member – $250                                                                    August 21-22, 2010
  Student – $200 (with student ID)
  Repeat – $125                                                                                             Certification by
 After August 1, add $25 to above                                                                HEALING TOUCH INTERNATIONAL, INC.
                                                                                      Healing Touch International, Inc. is the non-profit professional
Amount enclosed $ ____________________                                                membership and educational organization for Healing Touch. It was
   (minimum deposit $50)                                                              established in March 1996, to receive the AHNA Healing Touch
                                                                                      Certificate Program and the process for Healing Touch Certification
Refund Policy: If the Instructor cancels the class                                    of Practitioners (CHTP) and Instructors (CHTI) from the American
student will be given a full refund of tuition. If student                            Holistic Nurses Association.
cancels, minimum deposit is nonrefundable. .
                                                                                                      Endorsed by
       Yes, I can bring a massage table                                                 The American Holistic Nurses Association
       No, I can’t bring a massage table                                             The American Holistic Nurses Association is a nonprofit
                                                                                      membership organization dedicated to the principles and practice of
Make Checks Payable to: HTO                                                           holistic nursing defined as “the renewing and enhancing of the art of
    (Healing Touch Oklahoma)                                                          nursing and caring for the whole person”
Send to: Healing Touch Oklahoma
         13106 La Cresta Drive
         Piedmont, OK 73078
          HTI Healing Touch Certificate Program™              Level 2 Objectives                                                This course is an approved course of study of the HTI
            The HTI Healing Touch Certificate Program™ is     The participant will:                                             Healing Touch Certificate Program™. The HTI Healing
            a multi-level course of study in energy-based         1. Share the experience of practicing Level 1                 Touch Certificate Program™ is an endorsed program of
            therapy that moves from beginning to advanced              techniques.                                              the American Holistic Nurses Association.
practitioner and is complementary to heath care. The              2. Develop interviewing and additional assessment
program incorporates a variety of energy-based                         skills.                                                               Healing Touch International, Inc.
modalities that are sequenced in Levels 1 through 5,              3. Demonstrate a one-hour healing sequence for                                445 Union Blvd. Suite 105
allowing participants to progress from beginner to                     specific client problems.                                                  Lakewood, CO 80228
practitioner. Students receive a certificate of completion        4. Document clinical work.                                             Ph: (303) 989-7982 Fax: (303) 980-8683
at each level. Upon completion of Levels 1-5 and                  5. Practice back and neck techniques.                               e-mail Support@HealingTouchInternational.org
additional requirements, students are eligible to apply for       6. Describe specific techniques in addressing client                      www.HealingTouchInternational.org
certification through Healing Touch International, Inc.                health challenges.
Instructor Training prepares the individual to become an          7. Describe application of HTI’s Standards of                 Continuing Education Contact Hours
instructor. Each level in The HTI Healing Touch                        Practice and Code of Ethics within a Healing
                                                                       Touch session.                                                                   This continuing nursing education activity
Certificate Program™ includes both didactic and
                                                                                                                                                        was approved by the American Holistic
experiential learning in which participants practice and                                                                                                Nurses Association, an accredited
share experiences using energy-based healing                  Level 2 Course Content                                              approver by the American Nurses Credentialing Center’s
techniques. In addition the program encourages the                1.   Review techniques from HT Level 1                          Commission on Accreditation.
developing practitioner to enhance skills and knowledge           2.   Sharing experiences of practicing L1 techniques
through recommended readings and practice sessions.                                                                                              HTI is approved by the National Certification
                                                                  3.   Discuss applying techniques in clinical settings                          Board for Therapeutic Massage and Bodywork
There is also a strong commitment to personal growth and          4.   Assessment process: interviewing skills,                                  (NCBTMB) as a continuing education Approved
knowledge of holistic health principles.                               recording observations, documentation                      Provider.
                                                                  5.   Healing techniques: One-hour Healing
Target Audience                                                        Sequence, Spiral Meditation, Mind Clearing,              Provider approved by the California Board of Registered Nursing,
The HTI Healing Touch Certificate Program™ is a nursing                Wound Closing, Pain Ridge, Pain Drain, Sealing           Provider Number CEP15275 for 17.5 contact hours.
continuing education program for registered nurses,                    Leaks, Back Techniques
health care professionals, body-oriented therapists,
psychotherapists or other licensed health care                Workshop Information                                              Oklahoma classes are sponsored by the Oklahoma Nurses
                                                                         Nursing: 17.5 contact hours                            Association and the Oklahoma Student Nurses Association.
professionals and individuals who desire an in-depth                                                                            The ONA and OSNA allow you the opportunity to join nursing
understanding of healing work that uses energy-based                     NCBTMB: 17.5 contact hours
                                                                                                                                colleagues in bringing better nursing care and education to the
concepts. Certification as a Healing Touch Practitioner is        CA Board Registered Nursing: 17.5 contact hours               people of Oklahoma and the nation. The ONA works to refine
an appropriate goal for those who wish to establish a                                                                           nursing services for the public, advance the profession of nursing,
Healing Touch practice or incorporate Healing Touch as a      Instructor: Carol Hjersted-Smith, RN, CHTP/I                      provide peer support, and improve working conditions for nurses.
                                                                                                                                Fro membership information call (405) 840-3476 or 1-800-580-3476
major focus within an existing professional practice.         Carol is a Certified Healing Touch Practitioner and Instructor.   or visit the website at www.oknurse.com
                                                              She is co-founder of Integrative Healing Arts, LLC, and
Level 2 Description                                           Healing Touch Oklahoma, offering Healing Touch
Level 2 is for students who have completed Level 1 and        Workshops, introductory courses and presentations to                            For further information contact:
wish to increase breadth and depth in the study of Healing    professional and community groups. She enjoys a private
                                                              practice in Healing Touch, has conducted research using HT               Raine Benham, RN, CHTP, HTI 706-7716
Touch. The second level of study in Healing Touch                                                                                                 innerchi@cox.net
includes an intake interview, back techniques and a one-      with hospitalized patients, provides HT sessions for
hour healing sequence. Emphasis in the experiential           inpatients, and incorporates holistic nursing and HT into her           Carol Hjersted-Smith, RN, CHTP/I 627-3606
learning is on developing healing sequences for specific      practice as an emergency services nurse.                                         heartsmith@sbcglobal.net
client needs.                                                 Disclosure: Carol Hjersted-Smith is an instructor of the HTI
                                                              Healing Touch Certificate Program™ and has the right to use
                                                              the intellectual property of the HTI Healing Touch Certificate
                                                              Program™ Course of Study.