GetPT1st World Physio Database
Here is your chance to be part of the largest searchable database of physiotherapists worldwide. This database is free for individual therapists, though if you want to support our mission there is a link to donate at the end of this form.
Email address *
First name *
Your answer
Last name *
Your answer
The next questions are regarding your physical address. You can list it as the address of the clinic or facility where you work, or you can simply skip the street address and fill out the city/country portion for where you live.
Number and street name
Example: 555 Main Street
Your answer
Address 2
Example: Suite 103
Your answer
City name *
Your answer
Province
State, province, or territory. Do not abbreviate, please spell it out.
Your answer
Country *
Please spell it out instead of using an abbreviation
Your answer
Phone number
Your answer
Email address *
Email address that prospective clients can reach you at.
Your answer
Clinic website
Please enter in the format www.example.com
Your answer
The following questions are about you as a therapist.
Certifications
Do you have a certification or specialize in any of the following? Check all that apply.
If you would like to make a donation of any size, please click on the following link. This will help to maximize our reach. Thank you for your generosity. https://www.paypal.me/GetPT1st/
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