Postpartum Support International

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Thank you for your interest in PSI Certification in Perinatal Mental Health (PMH-C). If you meet all requirements for the certification exam, please fill out the following application. You may be asked for additional documentation to determine eligibility.

For more information about the exam and requirements, and to view the PMH-C Handbook, please visit: http://www.postpartum.net/professionals/certification/

If we approve your application, Pearson VUE will direct you to register for the exam at your nearest testing center. Testing centers are available throughout the world and can be found on the Pearson VUE/PSI webpage.

If you have not met all prerequisites, please do not apply at this time.
Email certification@postpartum.net with any questions.

Postpartum Support International
Certification in Perinatal Mental Health
Exam Application

Prefix

First Name *

Middle Name

Last Name *

Legal First Name *

Legal Last Name *

My name above matches my legal ID for the purpose of identification during testing.

Enter your full name below exactly as you would like it to appear on your certificate. (May include credentials/suffix if desired.)

Birth Date *

// (mm/dd/yyyy)

Email *

Address 1 *

Address 2

City *

State/Province (U.S./Canada)

Region/Prefecture (outside U.S./Canada)

Postal/Zip Code *

Country *

Phone # (1) *

Phone Type (1)

Phone # (2)

Phone Type (2)

Education and Certifications

Candidates must meet the following minimum requirements for education:

Psychotherapy/Mental Health Track - Graduate Degree
Psychopharmacology/Psychiatry/Prescriber Track - Medical Degree or Advanced Practice Nursing Degree
Affiliated Profession Track (Nurses, Doulas, Lactation, Social Support, Occupational or Physical Therapists, Dietitians, and others) - Professional Credential

PMH-C Track *

Academic background (list up to 4):
leave blank where not applicable

University/college name (1)

Year graduated (1)

Degree received (1)

University/college name (2)

Year graduated (2)

Degree received (2)

University/college name (3)

Year graduated (3)

Degree received (3)

University/college name (4)

Year graduated (4)

Degree received (4)

Education completed - please choose all that apply: *

BA
BS
MA
MS
MSW
DSW
MPH
N.D.
PhD or PsyD
M.D. or D.O.
Nursing Degree
Advanced Nursing Degree
Professional Credential
Other

If checked "Other" or "Professional Credential", please provide details:

Are you able to provide transcripts from relevant educational institutions if necessary? *

Yes
No
Maybe

What major or concentration is associated with your highest level of education? Example: BA in Counseling/Human Development *

Professional Licenses (list up to 2):
leave blank where not applicable

License # (1)

Locality/state (1)

License # (2)

Locailty/state (2)

Other Certifications (list up to 4):
leave blank where not applicable

Certifying agency (1)

Credential awarded, if any (1)

Date of initial certification (1)

Certification expiration date (1)

Certifying agency (2)

Credential awarded, if any (2)

Date of initial certification (2)

Certification expiration date (2)

Certifying agency (3)

Credential awarded, if any (3)

Date of initial certification (3)

Certification expiration date (3)

Certifying agency (4)

Credential awarded, if any (4)

Date of initial certification (4)

Certification expiration date (4)

Professional Experience

Candidates are required to have at least 2 years of experience in your professional field, including work with the perinatal population. Share your relevant work experience below.

Provider Occupation

If checked "Other", please list details:

How many years (in total) have you worked in your professional field? *

0-1 year (new to the field, recently graduated, etc.)
2-4 years
5-9 years
10-14 years
15-19 years
20-24 years
25 or more years

How much of your experience has been spent working with the perinatal population? *

What is your current title as it relates to your professional field of expertise (ie, Director of Nursing, Pediatric Nurse, etc.)? *

Name of the organization or company you work with (or your private practice), and a link to the website if possible.

Please provide any additional information about relevant work experience (prior positions, etc.)

Can we contact a reference or employer to verify hours? Please include name and contact number.

Prior Training Experience

Candidate requirements include training from accredited organizations. List below any trainings you have attended and would like considered as part of your requirement to sit for this certification exam. There is no guarantee of approval for prior trainings; PSI will determine this on a case-by-case basis. You will need to provide certificates of completion for each training.

Current requirements:
A) Completion of evidence-based perinatal mental health certificate training (14 hours in-person or remote training) and
B) Advanced training (6 hours, which must be in-person, or an approved online course).

See a full list of approved trainings at https://www.postpartum.net/professionals/certification/

Step 1: 14-hour PMHD Training Requirement

Choose from the following the training you have completed (if you completed more than one, please select the one you completed most recently). *

PSI - PMD 2-Day Certificate Course Components of Care
PSI/Policy Center - MMH Online Webinar Certificate Course
Seleni Institute - In-Person MMH Intensive
Seleni Institute - Online BUNDLE of MMH Intensive and Perinatal Loss and Grief
Maternal Mental Health Now - Bringing Light to Motherhood
Perinatal Support Washington (PSI Washington) - Prevention, Identification and Treatment PMHD
2021 Perinatal Mental Health Training Conference for Black Birth Workers, Clinicians, and Providers

PLEASE NOTE:
If you did not take one of the above trainings you cannot complete an application at this time. Email certification@postpartum.net with questions.

Step 2: 6-hour Advanced Training Requirement

Choose from the following the training you have completed (if you completed more than one, please select the one specific to the Track you are applying for.) *

PSI - Advanced Psychotherapy
PSI - Advanced Psychopharmacology
Other

If you selected "Other", please list: 1) training name 2) completion date (month/year) 3) training location.

PLEASE NOTE:
If you have not taken an approved advanced training, you cannot complete an application at this time. Email certification@postpartum.net with questions.

Accessibility

Will accommodations be necessary? *

Accommodations are to be reserved now, not after you have submitted this application. This is necessary in securing the correct reservation for you with the testing center.

You may be asked to provide additional documentation.

Extra Time

Separate Room

Nursing Space

Other

Documentation and Next Steps

You will be sent an email within the next day with instructions on how to submit your experience/training documentation. Applications cannot be approved without documentation.

To expedite approval, applications with complete training records will be reviewed and approved first. Trainings take approximately 2-3 weeks for approval.

If you just completed a PSI training, there may be a slight delay in approvals while we confirm participant records.

I have reviewed the Next Steps above and am prepared to submit required documentation. Please type "yes" in the box below.

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