Certified Pain Practitioner and Scar Release Therapy Certifications

This page is for registered CPP and Advanced Scar students seeking CPP and SRT certification status

If you have not registered for the CPP program please click below to register. I cannot start a file for you until you are registered.

Classes required for the CPP program:

  • Introduction to MPS/Scars (online)

  • Advanced Scar class (online and live)

  • Advanced Circuits (Web based live and recorded)

  • Auricular (Online)

This form needs to be filled in and submitted before a file is made for your case studies. Please fill this in, scan and send it to certification@mpstherapy.com

Registration Form for MPS certification Program

Download and print forms below to use for CPP and Scar submissions. Scan and email all files to me at certification@mpstherapy.com


You must "Click to download form" as they are link protected


Once all your submissions are complete, you will receive access to the certification exam


This form should be used prior to treating patients/clients with MPS

Patient-Consent-Form Acumed

Use this form for DATA for Standard Protocol and Battlefield Acupuncture


You need 10 of these for Battlefield and 10 for Standard protocol

MPS-Pain-Data-Collection

Instructions for Scar Data

Instructions for Scar submission Data for SRT program

Use this form for Scar DATA photos

MPS-Treatment-and-Video-Consent Acumed

Use this form for your Scar DATA


You will need 10 of these completed before you can get your test for certification

MPS-SRT-Data-Collection

Use these instructions for your case study. Narrative formats are also welcome so long as you are illustrating from session to session basic "SOAP" information. You may also submit an article or special project in leu of a case study. Please email me your request. The purpose of this portion of certification is to qualify that the recipient of this designation is using a well rounded approach to MPS and using all aspects of the therapy including scars, auricular and standard pro

Case Study format for Acumed CPP

Click the form to download my treatment consent form

treatment Consent form FOR Microcurrent therapy.docx