IAPTP Member Information
All IAPTP members will now be listed on our website, your listing will include your name, county, membership number & membership status. This will enable insurance companies, parents, clients etc to confirm you are registered with IAPTP.If you wish for further information to be included in your listing on our website, such as contact details, website, address etc; you will be required to complete the form linked at the bottom of this email. Please ensure to tick the consent box for us to publish your details.
Name
First Name
Last Name
Membership Number
Leave blank if unknown
Practice Address
Street Address
Address Line 2
City
County
Eircode
Wheelchair Accessible Premises
Yes
No
Contact Mobile Number
-
Area Code
Phone Number
Contact Landline Number
-
Area Code
Phone Number
Email
example@example.com
Website Address
IAPTP Membership Status
Student
Pre-Accredited
Accredited Play Therapist
Accredited Psychotherapist
Accredited Supervisor
Approved Supervisor
Accredited Play Therapist & Supervisor
Accredited Psychotherapist with a specialisation in Play Therapy & Supervisor
*Note: Student details other than membership number & county are not displayed on the IAPTP website
Please indicate the client types with whom you practice:
Child
Adolescent
Adult
Family
I accept referrals for private practice
Yes
No
Qualifications in Play Therapy, Psychotherapy and Supervision:
Details supplied in this box for office use only
Specialist Training (please tick as appropriate)
Filial / CPRT Therapy
Accredited Theraplay Therapist
Theraplay Level One
Theraplay Level Two
Group Theraplay
Animal Assisted Play Therapy
ChIPPA (Karen Stagnitti)
Learn to Play Programme (Karen Stagnitti)
BASIC Ph & 6 Part Story (Mooli Lahad)
SEe FaR CBT (Mooli Lahad)(a trauma treatment training)
Additional Specialist Training
Group Play Therapy (please complete box below)
Family Play Therapy (please complete box below)
Trauma (please complete box below)
Sandtray Therapy (please complete box below)
If you ticked any section in 'Additional Specialist Training' above; Please indicate training:
Specialist Therapy (please complete box below)
If you ticked 'Specialist Therapy' above; Please indicate actual training with details of tool and what is being assessed.
Other (please complete box below)
If you ticked 'other' above; Please specify and indicate training:
Areas of specialist interest and competence:
Details supplied in this section for viewing on public website
Specialist Training and Specialist Interest: Further Information: Please give further details (e.g. duration, any award received) of the training you have named in each area indicated above.
This information is for office use only
Accreditation with Other Professional Associations (e.g. IAHIP/ IACP/ICP).
Please give details of other current accreditations as play therapist, psychotherapist (or counsellor if professional body do not specify), or supervisor.
Date:
By ticking I consent to any information listed above to be shared publicly on IAPTP website
*
Yes, I consent
Submit
Should be Empty: