Medical Acupuncture for Physicians
AC71 Application

Bolger Conference Center, Potomac, MD
Module One: March 31 – April 3, 2022
Module Two: July 14-17, 2022
Module Three: October 20-23, 2022

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 (including booster if eligible)

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 March 1, 2022)Full-time Resident or Fellow: $10,000 by credit card, $9,750 by check($10,300 after March 1, 2022)

    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 training activities will take place at the Bolger Conference Center, Potomac, MD. You are requested to lodge at the hotel where a group rate has been arranged. A conference day use fee of $89 per day is required of participants who choose to stay elsewhere or room with another course participant.

    All participants, HMI staff, and HMI preceptors must be fully vaccinated & boosted against COVID-19 to participate in in-person activities. Additional health and safety precautions will 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 Once you have submitted this online application you will receive a confirmation email.