Carrick Institute

If you plan to attend Graduation 2022, do not submit a request for a diploma/certificate.
Please fill out the graduation form and you will receive your diploma/certificate at the event. 

Certificate Completion Form

Certificate Completion Form
  • Please fill out your name as you'd like it to be listed on your certificate. Middle name/initial is optional If you add Dr. or your credentials, they will be removed from the certificate.
  • If you choose to email your certificate, you will receive it in two formats. Print ready and digital-ready.
  • If you choose to have it mailed, a $35 fee will be invoiced to your email or charged to a card on file. Please allow 6-8 weeks to process and ship.
  • Pain Reset | ReceptorBased Essential Scholars

    If you have completed this series and would like to be spotlighted on social media, please fill out the portion below. This includes, you have taken all 50 hours of education, completed and passed your exam, and spoke with a faculty advisor.
  • Max. file size: 128 MB.
    Feel free to upload your headshot; we want to share your accomplishments on social media.
  • Please include your website; if we can link that on social media, we will.
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