Acusculpting® Drop-In Clinic Application Form 2025

Please confirm your interest in clinical training on Friday mornings with Illya Borreson by filling out the form below.

*Please note:

Successful candidates will receive an official registration form via email with the payment details and more information about the clinic structure/schedule once your application is processed
There are limited spaces available so please only respond if you are able to make the time commitment of approximately 10 hours over a 5-week time period

Name

First Name

Last Name

Please select the preferred date range that you are interested in below (if more than one date range applies, please select "I'm flexible")

Status of practice

I confirm that I am currently licensed to practice acupuncture in Canada

I confirm that I am a student but I have a minimum of 2 years of acupuncture schooling

I confirm that I am Acusculpting® Certified

YES

I am currently enrolled in the certificate program online

If you have a friend or colleague who is Acusculpting® Certified and is interested in pairing up with you for this pilot program, please indicate below:

Questions?

Acusculpting® Drop-In Clinic Application Form 2025

Please confirm your interest in clinical training on Friday mornings with Illya Borreson by filling out the form below.

*Please note:

Successful candidates will receive an official registration form via email with the payment details and more information about the clinic structure/schedule once your application is processed

There are limited spaces available so please only respond if you are able to make the time commitment of approximately 10 hours over a 5-week time period