Freedom From Chronic Pain clinician application form
Please fill in the following form:
Name *
First and last name
Email *
Country, city, timezone *
Which timezones could you see clients in, given your working schedule? See https://www.worldtimebuddy.com/ to work out if you could see clients in USA / Europe / Australia.
Phone number *
I am interested in (check all that apply) *
Required
My professional title is (e.g. somatic psychotherapist, psychologist, social worker, etc) *
My qualifications/studies in psychotherapeutic / counselling modalities and mindbody work are (e.g. Radix, Hakomi, ISTDP, psychoanalysis, CBT, ACT, Online MindBody Training With Howard and Hal, etc):
Number of years of experience working as a therapist or approximate number of client hours post qualification
Number of hourly sessions per week I could work for Freedom From Chronic Pain
I would be comfortable seeing some or all clients over Zoom / videoconferencing *
Please email your expression of interest (I suggest a one page cover letter and brief CV) to hal@freedomfromchronicpain.com OK?
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