Your Legal Name as to be shown on Certificate

Please enter your full postal address.

Your full address is not published on the site but helps with customers finding your listing by location.

Please use format, e.g. 26/Jan/1963 (or click/tap the calendar icon)

Please specify your full phone number including international code if possible.

Please take care to enter your email address correctly, as it is also our primary means of contact with you.

If you have a web page and would like us to link to it in your profile, please give details here.

Please enter any social media links that you have and would like linking from your profile. This helps us to promote your services.
NOTE: A FULL URL or LINK IS REQUIRED (typically beginning with https://)

Please list any therapies you wish to offer and are qualified in. - Unlimited.
ONLY ADD THERAPIES THAT YOU ARE CURRENTLY OFFERING - You can always request more to be added in the future.
(Please note we may request a copy of your qualifications).

Executive Therapists can list unlimited therapies included in the subscription fee. You may add more at any time in the future.

Please provide the name of your insurance provider.

Refer a friend or colleague and earn £10 per referral.

Name and/or IPHM reference number of Referring Training School if applicable.

If you would like an official IPHM Members lapel pin, please specify here.

A membership badge is a great way to let your clients know you're IPHM accredited.

example membership badge

If you require an IPHM Members photo ID badge, please upload a photo (below) or send one separately via email.

If you are requesting a therapists badge or would like your photo on your IPHM website listing, please upload a head and shoulders photo of yourself (Max. file size 5Mb - JPEG/PNG format)

Don't worry - if you don't have a photo available right now, You can send us one via email after application has been completed and submitted.

As an executive member, you can take advantage of your public profile page. This is a great way to sell your services in your own words. After all, you know your business better than anyone else.

Tip: you may include live links (e.g.

Please enter up to 5 keywords, separated by a comma. This helps customers find your listing.

Please confirm you have read, agreed and understood the IPHM Terms and Conditions