Application: Associate Therapist

Associate Application Form

Counselling | Psychotherapy | CBT | EMDR | DBT | Couples Counselling
RHCP is a private therapy service offering services to clients and businesses in Leicester and Leicestershire. We provide partnering opportunities for Independant Therapists to join our team and extend our offer of services avaliable.

Our Associate Scheme includes:

- Membership of RHCP community:

Use of logo on advertising, public endorsement by RHCP, advertising on RHCP website, FREE or reduced rate access to RHCP CPD events, referral eligibility.

- Optional Use of Room Hire Facilities

Sold in blocks of three clinical hours over 3.5 hours in the practice. Blocks are offered for morning, afternoons or evenigs including weeekends.

- Optional Clinical Referrals

Clients will be referred either directly should you offer a specialism or the client request you from our advertising. Or, clients may be matched to you following an initial consultaion with one of our practitoners.

Costs are associated wtih the association and are dependant upon which services you require and to what extend. Please request our pricing guide.
Date of Application

MonthDayYear
Date
Name*

First NameLast Name
Email*
example@example.com
Do you want to be added to our mailing list for CPD news?*

Yes PleaseNo Thank you
Phone Number*
Which Services/ Therapies Do You Offer

Adult individual Psychotherapy / CounsellingEMDRCBTDBTArt Therapy (or other creative therapies)Couples CounsellingSystemic TherapiesNeurodiversity specialismOther specialism(s)Other
If you ticked one of the 'other' categories please expand

0/100

If you hoping to hire room facilities, which days/time are you looking to work? Please provide ALL availability rather than preference as this may limit your application. Preferences can be listed below *

Further comments on room hire preferences. Please note that room hire is subject to availability and not guaranteed.
Do you have any disability or access needs that you would like us to support you with?
Qualifications
Anything else you would like us to know? or any questions you have*

we will endeavor to answer any questions as soon as possible 0/100
Thank you for completing an application. We endeavour to contact you as soon as possible. In the meantime please follow our social media channels to keep connected and hear about the services we offer.
Should be Empty:

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
Morning 8:45 - 12:45
Afternoon 12:45 - 16:45
Evening 16:45 - 20:45

Associate Application Form