Right Path Behavioral Health Services, LLC
3890 Dunn Ave. Suite 1104
Jacksonville, Florida 32218
(904) 765-0665 (Office) (904)765-0664 (Fax)
www.rightpathbehavior.com

Registration Form

CBHCM/CBHCMS Class Registration

*Only register on this page if you are planning to pay by check.

Name *

Title

Agency *

Address *

City

State

ZIP Code

Phone *

Email Address *

Select the Dates from the list that you would like to complete the training courses you selected above. *If you would like to take your Domain courses separately you may do so. Please complete separate registration forms to reflect the dates.

Please Select all of the Training Courses below, that you would like to Purchase. *

Domain 1 - Engagement and AssessmentDomain 2 - Service Planning and Development (initial and on-going)Domain 3 - Coordination, Linkage, and MonitoringDomain 4 - DocumentationDomain 5 Professional, Legal and Ethical Responsibilities

Please See Domain Descriptions at the bottom of this page to Learn More.

Total

Course Fee: $70.00 per Domain. Full 50 hour training $350.00
Checks are payable to:
Right Path Behavioral Health Services, LLC
1725 Oakhurst Avenue
Jacksonville, Florida 32208

Please Contact Human Resources Department at 904-367-2237 and 904-559-9094 or you can email at hr@rightpathbehavior.com

Lunch will be on your own and breaks will be provided.

We ask that all cell phones be turned off during the training.

Dress is casual, but professional. Please bring a sweater or jacket in case the room temperature is cool.

Classes will be conducted Online via Zoom.

Please do not fill in this field.