Application form for therapists wanting to see clients

This is a comprehensive form and will take some time to fill in.

Please make sure you attach your documents before you send it. These will be: Any relevant qualifying certificates, a clear recent photo of you, your insurance certificate (minimum indemnity £2 million) and anything else you think will support your application.

If you fill in this form, you are agreeing to our terms and conditions: when we give you your first referral you agree to pay the annual membership fee of a £50 due from the date of seeing your first referral. If you would prefer to pay by cheque, please use the contact form to ask for the address.

You will also need references from your Supervisor and a Referee. The links to the necessary forms can be found in the drop down menu above.

Once we have received all relevant documents and references, the application can take up to 3 months to process, so please be patient.

Optional

Optional

If you are not yet trained, skip this question











If yes, please note the lowest amount you would charge





If no, please note your experience and/of intention to apply for accreditation

e.g. BACP, UKCP, COSRT

N.B.Skip this question if you have not yet had any training

NB we require a minimum cover of £2,000,000 in line with many other accrediting bodies

If yes, please give full details, including dates, whether the complaint was upheld and any action taken

Name, email, phone, address and qualifications

Name, contact details, and a not about how they know your work








We will only use it in accordance with Data Protection Act



I.e. CBT or integrative?




Optional



Please attach any relevant files below.

Add another file