Request MID Analysis

To obtain a copy of MID Analysis v5.0, please complete the form below with all requested information. You will receive a prompt follow-up message via email with information to access the MID Analysis v5.0.

If you've already requested MID Analysis v5.0 but not yet received the email with the access link and password, please check your 'spam' folder before re-submitting your request. If you still haven't seen it, submit your request via this form. If you don't receive it on the second attempt, please click here to contact the webmaster for assistance.

IMPORTANT NOTE: If you are not a clinician, clinician-in-training, or mental health researcher, then please seek out a qualified practitioner (for example, by CLICKING HERE), who can help you, rather than attempting to diagnose yourself.

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First Name:*

Last Name:*

Degree(s)/Credential(s):*

Mental health clinician-in-training (choose degree/profession below)
MA/MS
MSW
MEd
LCSW/LICSW
LPC/LCPC
MHC/LMHC
MFT/LMFT
PhD
PsyD
MD
Licensure/Degree Outside US

Email:*

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Professional License # (if you are not licensed, type N/A)*

State / Province / Country of Licensure (if applicable)

Practice, Organization, or Research Institution Name*

I am requesting MID Analysis v5.0 for (choose all that apply):*

Diagnostic/treatment purposes
Clinical/institutional research
To diagnose myself

Terms and Conditions:
The MID and MID Analysis are intended for the exclusive use of mental health clinicians-in-training, licensed clinicians, and researchers. To obtain a copy of the MID Analysis, you must be one or both of these, and your intention must be to use MID Analysis for diagnostic or research purposes. You are responsible for your use of the MID and MID Analysis, and agree to hold the authors of the MID, MID Analysis, and related documents free from liability.

By entering my name below, I attest that I am a clinician-in-training, licensed clinician, and/or researcher, and that I understand and agree to the terms of use described above.

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