Glaston Centre - Therapist's Forum
Please note that this is a Forum for Therapists in Glastonbury (and immediate surrounding areas) only

It is a pre-requisite that to be a member of the Forum a therapist has professional insurance and is a member of a Professional Body. Please confirm in the relevant boxes and include a copy of your insurance and registration details.

Membership is £24 per annum, pro rata. Renewable 1st April

Benefits of your membership include:
An advert on our website, including an image and up to 60 words of description.
Having your leaflets available in Glastonbury Information Centre

Glastonbury Information Centre, St Dunstan’s House, Magdalene Street, BA6 9EL
www.unitythroughdiversity.org
Name *
Including abbreviations re. professional accreditation/qualifications e.g. Joe Bloggs MA, UKCP Reg.
Your answer
Practice Name
If we list your practice name and more than one therapist works in your practice, each must be a member of the Forum
Your answer
Address *
Your answer
Landline Phone Number
Your answer
Mobile Phone Number
Your answer
Email Address
Your answer
Website
Your answer
Your membership includes the listing of two of your therapies on our website.
Therapy One *
Your answer
Description
Each of your listings can include a description. Maximum of 60 words. This could include how many years you have been in practice, accreditation, more info about the therapy e.g. if under the heading ‘Psychotherapy’ this is where you would put what model you use: i.e. Humanistic, Gestalt, Core process etc.
Your answer
Qualifications and/or Experience *
Your answer
Insurance *
I have Public Liability Insurance and/or Professional Indemnity Insurance. The name of my insurers is:
Your answer
Professional Body Membership *
I hold Professional Body Membership with:
Your answer
Therapy Two *
Your answer
Description
Maximum 60 words
Your answer
Qualifications and/or Experience *
Your answer
Insurance
I have Public Liability Insurance and/or Professional Indemnity Insurance. The name of my insurers is:
Your answer
Professional Body Membership *
I hold Professional Body Membership with:
Your answer
Additional Therapies
If you would like to list more, there is an additional cost of £4 per annum, regardless of when you join, per therapy. Please list them here:
Your answer
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