Please use format, e.g. 26/Jan/1963 (or click/tab 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 list any therapies you wish to offer and are qualified in. - Maximum 6.
(Please note we may request a copy of your qualifications).
If you are offering more than 6 therapies, an Executive Membership is required.
Please provide the name of your insurance provider.
Refer a friend or colleague and earn £7 per referral.
Name and/or IPHM reference number of Referring Training School if applicable.
A membership badge is a great way to let your clients know you're IPHM accredited.
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.
Please add any additional comments you feel may be relevant.
Please enter up to 5 keywords, separated by a comma. This helps customers find your listing.
Please confirm you agree to the IPHM Terms and Conditions.