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Issues
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as a therapist, please fill in this short form.
Membership Subject to Qualification approval and Verification.
Title
First Name
*
Last Name
*
Telephone
*
Number of Years Primary Training
*
Please select one¬
3 years minimum
4 years
5+ years
Do you have at least 300 client hours to date
*
Yes
No
Gender
*
Male
Female
Upload Profile Image
*
First impressions matter! Our experience shows that people with warm, open, colour photos get more requests.
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File extensions: jpg, jpeg, gif, png
Maximum file size: 5MB
Documents required to register
Membership Certificate
*
Maximum file size: 5MB
Qualification Certificate(Min 3 years)
*
Maximum file size: 5MB
Insurance Certificate
*
Maximum file size: 5MB
Photo ID
*
Maximum file size: 5MB
Email Address
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Confirm Email Address
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