Sports Physiotherapy NZ Member details
This information will be added to the Sports Physiotherapy New Zealand Website for the public to access. Only use contact details you are happy to be made publicly available

PLEASE NOTE THIS IS FOR YOUR PERSONAL SPORTS INTERESTS AND EDUCATION - NOT YOUR CLINICS

before filling out the form go to sportsphysiotherapy.org.nz/find-a-physio to see how the format will appear


Town / Region
Town (Region if in Auckland or major city - e.g. North Shore)
Your answer
First Name
Your answer
Last Name
Your answer
Key Sport
what ONE sport do you associate yourself with
Your answer
Email Contact
Your answer
Contact Details
Clinic Name
Your answer
Contact Details2
Clinic Street Address
Your answer
Contact Details4
Clinic Phone number
Your answer
Website
Your answer
Qualifications
Your answer
Specific teams/sports you are currently working with
(e.g Rugby League – Mt Albert senior team; Netball – Auckland U21 team)
Your answer
Sports Interests
(physiotherapy work related): (e.g Rugby, Rugby League, Basketball, Hockey, Athletics)
Your answer
Sports interests/participation (personal)
(e.g Rugby League - play for Auckland Vulcans)
Your answer
Other areas of professional interest/expertise
(e.g pilates, McKenzie, acupuncture)
Your answer
I am happy for these details to be made available on the SPNZ website for the public to access
Required
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