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
Dr.
Prof.
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
Female [Femenina]
Male [Masculino]
Non-Binary [No binarie]
Email *
Company Name
Address 1 *
Address 2
City *
State/Province (U.S./Canada)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
U.S. Minor Outlying Islands
Virgin Islands
Armed Forces Americas
Armed Forces Europe, the Middle East, an
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut Territory
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Region/Prefecture (outside U.S./Canada)
Postal/Zip Code *
Country *
United States of America
Canada
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (the Democratic Republic of the)
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands [Malvinas]
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (the Democratic People's Republic of)
Korea (the Republic of)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia (the former Yugoslav Republic of)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (the Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan (Province of China)
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara*
Yemen
Zambia
Zimbabwe
Primary phone # *
1st Phone Type
Home
Mobile
Other
Work
Secondary phone #
2nd Phone Type
Home
Mobile
Other
Work
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 *
Mental Health/Psychotherapy Psychopharmacology Affiliated Professions Undecided at time of application
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)
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)
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]
Behavioral Health Specialist/Counselor [Especialista en salud del comportamiento] Childbirth Educator [Educación de parto] Doula Lactation Consultant/Counselor [Consultación o consejería de lactancia] Marriage and Family Therapist [Terapeuta matrimonial y familiar] Massage Therapist [Masajista] Medical Assistant [Asistencia médica] Midwife/Nurse Midwife [Partería o la enfermería partera] Nurse [Enfermero/a/e] Nurse Practitioner (Primary Care)/Advanced Practice Nurse [Enfermería de práctica avanzada / Practicante de enfermería (Atención primaria)] Occupational Therapist [Terapeuta ocupacional] Physical Therapist [Fisioterapeuta] Psychiatric Nurse Practitioner [Practicante de enfermería psiquiátrica] Physician Associate / Physician Assistant [Asistente Médico / Auxiliar Médico] Physician: Family Practice [Medicina: medicina familiar] Physician: Gynecologist/Obstetrician [Medicina: Ginecólogo/obstetra] Physician: Maternal-Fetal Medicine [Medicina: Medicina Materno-Fetal] Physician: Naturopath [Medicina: Naturópata] Physician: Osteopath [Medicina: Osteópata] Physician: Pediatrician [Medicina: Pediatra] Professor or Assoc. Professor [Profesor/a/e o Profesor/a/e Asociado/a/e] Psychiatrist [Psiquiatría] Psychologist [Psicología] Psychotherapist [Psicoterapia] Public Health [Salud pública] Researcher [Investigador/a/e] Social Support Volunteer/ Advocate [Voluntario/a/e o Defensor/a/e de apoyo social] Social Worker [Trabajo Social] Student [Alumno/a/e] Other [Otra profesión]
If checked "Other" for Profession, please list details:
How much of your experience has been spent working with the Perinatal Population (pick the best)?
I primarily work with the perinatal population
I work occasionally with the perinatal population
I have limited experience with the perinatal population
I have no experience working with the perinatal population, but hope to someday.
Other
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.)
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
****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? *
Yes
No
OR
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.