Freedom From Chronic Pain clinician application form
Please fill in the following form:
Name *
First and last name
Email *
Address *
Phone number *
I am interested in (check all that apply) *
Required
My professional title is (e.g. somatic psychotherapist, psychologist, social worker, etc) *
My main psychotherapeutic / counselling modalities are (e.g. Radix, Hakomi, ISTDP, psychoanalysis, CBT, ACT, etc):
I would be comfortable seeing some or all clients over Skype / videoconferencing *
Please email your expression of interest (I suggest a one page cover letter and brief CV) to hal@freedomfromchronicpain.com OK?
Submit
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