Therapist Registration Form

Listings cost £29.50 for 1 year or £49.50 for 2 years

This is exceptionally good value when you look at how much your listing with therapistdirectory allows you to say about you and your business. You're not just getting an entry in a directory but a full web page.

If you become an agent for therapistdirectory you could easily recoup the cost of registration.

Please read the form guidelines to help you fill in the registration form and make the best use of your directory entry.

Once you have completed the Registration Form and pressed the Submit button you will receive confirmation your details have been accepted and then you will be directed to a secure PayPal site to pay the appropriate registration fee.

Form Guidelines

  • Surname: This is a required entry:
  • Christian Name: This is a required entry:
  • Business Name: If applicable.
  • Address 1, 2, 3, Town and Post Code: This should be address you practice from. These details will appear in your entry. If you work from home and do not want to give out your full address, just complete the Town and Post Code entry.
  • Town: This is a required entry: This enables you to be placed in the appropriate page(s) of the directory. The directory is arranged by towns. Your town will be added if it is not presently listed.
  • Post Code: This is a required entry:
  • Phone:. Should be completed if you want clients to contact you this way.
  • Mobile. Should be completed if you want clients to contact you this way.
  • Email This is a required entry: Essential, for TherapistDirectory and clients to get in touch with you.
  • Website If you have a website we can provide a link to it.
  • Therapies: This is a required entry: Make full use of the 100 words available to include all therapies you offer.
  • Qualifications: This is a required entry: Make full use of the 100 words available to list your relevant qualifications, what they are, who awarded them and dates. Important information for potential clients.
  • Professional Body Membership: Make full use of the 100 words available to list your Professional Body Memberships. Important information for potential clients.
  • Additional Information: Make full use of the 100 words available to list other information that you think will be of benefit to potential clients.
  • Agent Pin Number: Only fill this in if you are an agent and you are registering a new therapist.
  • Images: Images can be of you, your clinic or a logo. These should be e-mailed seperately to alan@therapistdirectory.co.uk with your e-mail confirming your full name and address. Files should be either .gif or .jpeg and be no larger than 750kb
  • Security Code: This is a required entry: In the box provided type in the six digit code you see displayed. A unque number is generated each time the form is opened which will help identify your entry. (letters are not case sensitive)
    More information on this security code system.
  • Submit Button: When you press the submit button you will receive a message on screen confirming your registration or a message asking you to insert/amend some details. Your regsitration will only be processed once you've received the confirmation message. You will also receive a confirmation email. You will be advised by email when your details are online.
  • Please Note: You can amend and update any of your details at any time simply by sending an e-mail to alan@therapistdirectory.co.uk
  • REGISTRATION FORM

    Surname
    Christian Name
    Business Name
    Address (1)
    Address (2)
    Address (3)
    Town
    Post Code
    Phone
    Mobile
    Email
    Website
    Therapies
    (Max 100 words)
    Qualifications
    (Max 100 words)
    Professional Body Memberships
    (Max 100 words)
    Additional Information
    (Max 100 words)
    Agent Pin Number

    This helps prevent automated registrations.

     

    After your form has been successfully submitted you will be directed to a secure PayPal page where you can make the relevant payment.

    If you have any problems completing the form please email alan@therapistsdirectory.co.uk