Send your documentation…

Your Name (required)

Your Email (required)

Your Phone Number (required)

Your Address (required)

Your Therapy(s)(required)

Please upload your proof of *Professional Body Membership if you are a member of one.

Please list other Professional Bodies you are member of here (if any)

Please upload your *Certificate of Professional Public Liability Insurance(PLI) Either yours or for the place you practice if you are not practicing from home/mobile. (required)

Please upload your *Certificate of Professional Indemnity Insurance if on a separate certificate to your PLI.

File size limited to 1.5mb per file.

1+1=?

* A word document, scan or photograph is sufficient so long as we can clearly ready the words on the document. Accepted file types are doc / docx / pdf / jpg / jpeg / png