AC76 Returning Warrior Application | Helms Medical Institute

Medical Acupuncture for Physicians
Returning Warrior Application

The Winter-to-Fall 2025 course has the first two primary clinical course units delivered in Tempe, Arizona and the third primary clinical course unit delivered in Potomac, Maryland (outside of Washington D.C.):

Module One: January 16-19, 2025 (Arizona)
Module Two: April 24-27, 2025 (Arizona)
Module Three: September 11-14, 2025 (Maryland)

The final day of each in-person module ends at noon local time.
There will also be additional shorter meetings delivered via Zoom in between the primary units.

If you are a graduate of the basic MAFP course with a graduation date in 2021 or later, you may select the clinical unit(s) you wish to attend. If you graduated prior to this date, you may be requested to register for all three live units due to evolving course curriculum. Contact HMI to discuss your situation and goals.

In addition to completing the application form below, the following items are required for your application to be considered. You must submit them via email to mafp@hmieducation.com:

Résumé / CV
Photocopy or scan of your current medical license
Statement of plans on on your interest in returning to the program and your use of acupuncture since first taking the HMI course
Tuition payment

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

Select the session(s) you wish to attend:*
Tuition is $2900 per session OR $8100 if payment for all three sessions is received by December 3, 2024.

Module One (January 16-19, 2025) - ARIZONAModule Two (April 24-27, 2025) - ARIZONAModule Three (September 11-14, 2025) - MARYLAND

First Name*

Middle Initial

Preferred Name

Last Name*

Degree*

State Medical License Number*

Specialty*

Contact Information

Primary Email*

Home Address:

Street*

Street address only, no P.O. boxes.

City*

State*

Zip*

Primary Phone*

Please use the format 555-555-5555 for US phone numbers.

Secondary Phone

Please use the format 555-555-5555 for US phone numbers.

Year you completed the basic HMI course:

Indicate method of payment:*

ACH (e-check)Preferred - HMI Staff will send an ACH payment link within 48 hours of application submission.CheckPayable to Helms Medical Institute, 2001 Addison Street, Suite 300, Berkeley, CA 94704Credit Card - onlineHMI Staff will send a credit card payment link within 48 hours of application submission.Credit Card - by phoneCall 510-649-8488 between 10am and 3pm Pacific Time3rd Party PaymentSpecify:

In-person training activities in Arizona will take place at the Tempe Mission Palms Hotel & Conference Center in Tempe, Arizona, and in-person training activities in Maryland will take place at the Bolger Conference Center in Potomac, Maryland (just outside of Washington D.C.). You are requested to lodge at the hotel where a group rate has been arranged (per night: $249 / $219 / $210 + tax + [AZ only] $12.95 resort fee). A conference day use fee of $89 per day is required of participants who choose to stay elsewhere or room with another course participant.
For additional information about this course, call 510-649-8488 or e-mail mafp@hmieducation.com. Once you have submitted this online application you will receive a confirmation email.