Application Form

ESDaP Courses 2025

Psychodermatology Diploma

Module 1: October 02,03,04 : opening of the platform on the 4th of September

Module 2: October 25-26-27 : opening of the platform on the 28th of September

+ 1 hour meeting 2 Sundays after the opening of the platform at 3pm

+ 1 hour meeting 1 Sunday after the end of the online courses at 3pm

The Chronogram will be sent after your registration

Name

Address

Limited number of participants

If you enrol for Module 1: enrol yourself on https://psychodermatology.moodlecloud.com

Place your CV and Motivational letter in the Assignements
After acceptance you can pay through the Paypal payement

Specialty and membership

Dermatologist

Psychologist

Psychiatrist

Other (accepted on CV)

Resident (copy of the student card)

ESDaP Member

I will pay

450 € (400 € as ESDaP Member) before the 1st of May (eary bird fee)

550 € (500 € as ESDaP Member) before the 1st of July

I wish to become ESDaP member and I will pay the fees of 75€ (35€ as resident) see the ESDaP application form on the website www.psychodermatology.net)

650 € (600 as ESDaP member) late registration if seats are still available

I apply for (one module a year is recommended)

Module 1

Module 2

ESDaP Payment information

http://www.paypal.me/psychodermatology

Invoices will be sent by email.

Signature or name

NO refund in case of cancellation

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