Application Form - Dr Leah Hechtman

1Applicant Details

2Professional Background

3Course Selection

4Eligibility & Commitment

5Deposit & Payment Plan

Practitioner Details

Full Name (as to appear on certificate)*

First Last

Preferred Name

Email Address*

Phone*

Country*

Country

Time Zone

Time zone you will be in for the office hours sessions.

Professional Background

Current Occupation / Professional Title

Current Qualifications*

Please list your current qualifications (include institution and year)

Proof of Training*

Upload your proof of training documents

Drop files here or

Max. file size: 5 MB.

Professional Registrations*

Professional Registrations (AHPRA, ANTA, etc.)

Years in Clinical Practice*

Please enter a number less than or equal to 50.

Main Areas of Focus

What areas of focus do you specialise in? (e.g. fertility, gynaecology, obstetrics):

Current Practice Setting

Solo, group, telehealth, etc.

Current Enrolment

Are you currently enrolled in or a graduate of another course with Leah Hechtman?

Yes

Please specify your current enrolment with Dr Leah Hechtman

Course Selection

Select the certification(s) you're applying for. All three certifications run concurrently from 15 February to 17 December 2027 (44 weeks inclusive of breaks).

Foundational Fertility (FFC): weeks 1–15 of AFC as a standalone certification. Not available alongside AFC, which already includes it.

Graduate of a previous intake? Select the certification(s) you'd like to re-enrol in under Alumni Enrolment below.

Advanced Fertility Certification

Integrative Obstetrics Certification

Integrative Gynaecology Certification

Foundational Fertility Certification

Alumni Enrolment

For graduates of a previous intake. Select any certification you would like to re-enrol in at Alumni Enrolment pricing. You can combine this with a new certification above.

Advanced Fertility Certification (Alumni)

Integrative Obstetrics Certification (Alumni)

Integrative Gynaecology Certification (Alumni)

Eligibility & Commitment

What draws you to this program?

What outcomes do you hope to achieve through this training?

How will you integrate this learning into your professional practice?

Do you anticipate any barriers to completing the course (time, access, technology)?

How did you hear about the course?

Deposit & Payment Plan

There's no charge when you apply. After you submit, you'll be taken to our secure Stripe page to save your card. Your deposit is only charged once your application is accepted.

AFC deposit

IGC deposit

IOC deposit

FFC deposit

GST divisor

Set automatically: 1 for Australia, 1.1 for other countries.

Deposit amount (AUD)

Calculated from the certification(s) you selected: $2,000 per certification, or $1,000 for Foundational Fertility.

Advanced Fertility, Integrative Gynaecology and Integrative Obstetrics: $11,500 AUD per certification (incl. GST), including the $2,000 deposit. The balance is paid as:

Pay in full: $9,500, January 2027
2 payments: 2 × $4,893, January and July 2027
10 payments: 10 × $1,036, January to October 2027

Advanced Fertility, Integrative Gynaecology and Integrative Obstetrics: $10,454.55 AUD per certification (GST-free for applicants outside Australia), including the $1,818.18 deposit. The balance is paid as:

Pay in full: $8,636.36, January 2027
2 payments: 2 × $4,448.18, January and July 2027
10 payments: 10 × $941.82, January to October 2027

Foundational Fertility: $3,750 AUD (incl. GST), including the $1,000 deposit. The balance is paid as:

Pay in full: $2,750, January 2027
2 payments: 2 × $1,416, January and April 2027

Foundational Fertility: $3,409.09 AUD (GST-free for applicants outside Australia), including the $909.09 deposit. The balance is paid as:

Pay in full: $2,500.00, January 2027
2 payments: 2 × $1,287.27, January and April 2027

All prices include GST. If you live outside Australia, GST does not apply and the GST-free amounts are shown instead.

As you live outside Australia, GST does not apply. The amounts shown are GST-free.

Amounts are per certification. Payment plans include an administration loading of 3% (2 payments) or 9% (10 payments). Enrolling in more than one certification? Please enquire for more information at [email protected].

Payment plan*

Pay in full (January 2027)

2 payments (January and July 2027)

10 payments (January to October 2027)

Payment plan*

Foundational Fertility is available as pay in full or 2 payments, so this plan applies to all certifications you've selected.

Pay in full (January 2027)

2 payments (see dates above)

Deposit terms*

Saving your card is not a charge. If your application is accepted, the deposit shown above is charged to your saved card, your place is confirmed, and your selected payment plan begins in January 2027. If your application isn't accepted, nothing is charged. Once charged, the deposit is non-refundable.

I understand and agree to the deposit terms.*

Terms, Policies and Agreements

Agreement 1*

I have read and agree to the Terms. In particular, I acknowledge and agree that any course fees are non-refundable except in the circumstances described in the Terms or as required by applicable law. If I have a payment plan covering my course fees, I acknowledge and agree that my obligations to make payments under that plan will continue until the full cost of my course has been paid in accordance with that payment plan.*

Agreement 2*

I acknowledge that, as described in the Terms, my enrolment is personal to me and that I must not share my user details, password or course materials with any person.*

Agreement 3*

I acknowledge that the intellectual property rights in the course materials are valuable, and that I must not use, record, reproduce or store the course content using any form of system or tool (such as an AI transcription tool or content organisation tool) where the use of that system or tool would result in the disclosure of the course content to any person (such as the provider of the system or tool).*

Agreement 4*

I have read and agree to the Privacy Collection Statement which describes the way Dr Leah Hechtman will collect, handle and otherwise use my personal information. I acknowledge that I have had an opportunity to read the accompanying Privacy Policy.*

Marketing Consent

I agree to receive marketing materials from Dr Leah Hechtman that may be of interest to me.

By submitting this application, I confirm that the information provided is accurate to the best of my knowledge and that I am ready to engage fully in this educational experience with professionalism, curiosity, and respect.

2027 Application Form

Practitioner Details

Professional Background

Course Selection

Eligibility & Commitment

Deposit & Payment Plan

Terms, Policies and Agreements

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