Certification Application

Visceral or Neural Manipulation Certification through the Barral Institute is much more than a credential. The Certification credential establishes you as a dedicated professional with the knowledge and skills to uphold high standards of excellence. Certification increases your networking and referral status, as your colleagues and potential clients see your commitment to excellence.

You can fill out the form below or download a PDF version of the application.

VM Application NM Application

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Upledger Certification Success

Personal Information

Full Name

Professional Title

Address Line 1

Address Line 2

Work Phone

Home Phone

Cell Phone

Email Address

Year Practice Began

Education

(include basic post-high school preparation through highest degree held)

Institution (Name, State)

Degree, Diploma, Certificate

Award Year

Current governmental issuance granted

Professional Licenses / Certifications

Issued By

Number

Date Issued

Expiration

I have completed the prerequisites and am applying and registering for

Certified Visceral Techniques Practitioner (VM1 - VM4, LT1)

Certified Visceral Manipulation Practitioner (VM5 - VM6)

Certified Neural Manipulation Techniques Practitioner (NM1-NM4)

I understand that Certification through the Barral Institute does not provide a legal right to practice, therefore a person must have the appropriate credential and/or license to practice manual therapy in their locale.

BI requires that each therapist certified in Visceral Manipulation and/or Neural Manipulation through BI certification program complete 24 hours every four years of BI-approved continuing education. This may be in the form of BI courses (participating or assisting). BI reserves the right to revoke certification for actions deemed inappropriate by the certification ethics committee.

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