Have an account? Click here to log in...

Postpartum Support International Certification in Perinatal Mental Health: Exam Application

Thank you for your interest in the PSI Certification in Perinatal Mental Health. In order to ensure that you meet minimum requirements for this certification test, please take a moment to fill out the following questionnaire. We also require applicants to read the PMH-C Handbook. This can be found at: http://www.postpartum.net/professionals/certification/. Please be aware that you may be asked for additional documentation to determine eligibility.

Once it is determined that you meet eligibility requirements, you will be directed to register for the test at your nearest testing center directly through Pearson VUE. Testing centers are available throughout the world and will be found on the Pearson Vue/PSI webpage. At this time, all PSI PMH-C tests are delivered by computer at Pearson VUE testing centers. For more information about the test and requirements, please visit: http://www.postpartum.net/professionals/certification/.

This form will allow you to accomplish two things: It will allow you to create an account within the PSI management system, so that we can track your testing history, scores, and re-certification status. It will give you the ability to provide details about prior trainings and other related documentation. Please email certification@postpartum.net with any questions. Thank you!

**** PLEASE READ BEFORE YOU APPLY ****
If you have not met all pre-requisites, please do not apply at this time. Email certification@postpartum.net with any questions.

Prefix

First Name *

Middle Name

Last Name *

Please make sure your first and last names match your identification, which is required for testing at Pearson Vue centers

How would you like your name to appear on your certificate? (May include credentials/suffix)

Birth Date *

// (mm/dd/yyyy)

Gender

Email *

Company Name

Address 1 *

Address 2

City *

State/Province (U.S./Canada)

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

Postal/Zip Code *

Country *

Primary phone # *

1st Phone Type

Secondary phone #

2nd Phone Type

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 professional Track: Professional Credential (Nurses, Doulas, Lactation, Social Support, Occupational or Physical Therapists, Dietitians, and others)

PMH-C Track *

Academic background (list up to 4 degrees):

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" for Education, please provide details:

Other Certifications (List up to 4)

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)

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 *

If you have professional licensure, please list your full license information:

Do you require additional accommodations in order to sit for the exam? Please share details below. You may be asked to provide additional documentation.

Accomodations must be requested prior to registering for the exam.

PMH-C: Accessibility accommodation requests/needs for exam

Professional Experience

Candidates for the Certification in Perinatal Mental Health are required to have at least 2 years of experience in your professional field, including work with the perinatal population. Please share your relevant work experience below.

Provider Occupation [Profesión de proveedor/a/e]

If checked "Other" for Profession, please list details:

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

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 (pick the best)?

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

Please provide the 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 conact number.

Prior Training Experience and Documentation

Candidate requirements include training from accredited organizations. List below any trainings you have attended that you would like to be considered as part of your requirement to sit for this certification test. Please note that 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 (14.5 hours in-person or remote training) & 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 PMAD training

Please choose 1 of the following trainings (most recent) *

PSI PMD 2-Day Certificate Course-Components of Care
PSI/2020 Mom MMH Online Webinar Certificate Course
Seleni Institute: In Person Maternal Mental Health Intensive
Seleni Institute: online BUNDLE of Maternal Mental Health Intensive and Perinatal Loss and Grief
Maternal Mental Health Now: “Bringing Light to Motherhood"
Perinatal Support Washington (PS Washington): Prevention, Identification and Treatment of Perinatal
2021 Perinatal Mental Health Training Conference for Black Birth Workers, Clinicians, and Providers

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

Step 2: Advanced Training Requirement

Fill out the information regarding the Advanced Training requirement specific to your track.

Have you taken an approved Advanced Training? *

Did you take a PSI Advanced training: Advanced Psychotherapy OR Advanced Psychopharmacology)

Have you completed an approved alternative training (not from PSI)? If so, please list training name, completion date (month/year), training location.

****NOTE: if you have not taken an Approved Advanced Training, you CANNOT complete your application at this time. Email certification@postpartum.net with any questions.

Documentation and next steps:

**** If you have not met/completed all of the above requirements, please do not apply at this time.

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 the 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 waiting on confirmed participant records.