Clinical Training Enrolment Form

To apply for Module II of the Diploma in Osteopathic Manual Practice (DOMP) or Master of Science in Osteopathy (M.Sc.O) program, you must complete the following form.

Program names: Diploma in Osteopathic Manual Practice (DOMP)/Master of Science in Osteopathy (M.Sc.O)
Module II: Clinical Training
Academic year: 2024
Location / Dates (please select one)

Toronto, Canada / October 20-26, 2024

Barcelona, Spain / Ongoing

First Name

Last Name

Email

Phone

Street address

City

Province/State

PC/ZC

Country

Type of health care practice

Years in practice

Module I completed ?
Yes
No

If no, anticipated date of completion

Graduate of LCO's Associate Certificate in Osteopathy program
Yes
No

Graduate of LCO's Master's Certificate in Osteopathy program
Yes
No

Additional information about yourself (optional)