Medical Acupuncture for Physicians
AC70 Application

Primary Course Units
Module One: 10-12 December 2021 (3 days; remote)
Module Two: 10-13 March 2022 (3.5 days; Tempe, AZ)
Module Three: 26-29 May 2022 (3.5 days; Tempe, AZ)

There will also be additional shorter meetings delivered via Zoom in between the primary units.

In addition to completing this form, the following documents are required for your application to be considered. You must submit them via email to

  • Résumé / CV
  • Photocopy or scan of your current medical license
  • Statement of plans on your interest in acupuncture and how you will incorporate it into your practice. (For military applicants, please include in your statement confirmation of your base command’s endorsement of your training and an acupuncture-friendly clinical setting.)
  • Documentation of COVID-19 vaccination

The fields indicated with an asterisk (*) are required.

Name And Professional Information


Contact Information

Home Address:

Military Personnel & Government Employee Applicants Only


300-Hour CME course: $12,000 by credit card, $11,750 by check($12,500 after 10 November 2021)Full-time Resident or Fellow: $10,000 by credit card, $9,750 by check($10,300 after 10 November 2021)

Indicate method of payment:*

CheckPreferred - Payable to Helms Medical Institute, 2520 Milvia Street, Berkeley, CA 94704 Credit Card - onlinePay online at Card - by phoneCall 510-649-8488 between 9am and 2pm Pacific Time or fax to 510-649-86923rd Party Payment

All participants, HMI staff, and HMI preceptors must be fully vaccinated against COVID-19 to participate in in-person activities. Additional health and safety precautions may be implemented at the in-person teaching activities, in accordance with CDC recommendations, and these measures must be followed by all attendees.

For additional information about this course, call 510-649-8488 or e-mail

Your personal check will not be deposited until you have been accepted to the course.

Once you have submitted this online application you will receive a confirmation email.