Therapist Directory Information

Name*

First NameLast Name

Are you currently a practicing Clinical Hypnotherapist?*

YesNo

Phone Number

Area CodePhone Number

Email*

example@example.com

What is your primary method of delivering therapy?*

In-PersonOnlineBoth

What is your preferred way for clients to reach you?*

E-mailPhone CallWhatsappOther

If you have a physical practice location, please specify the city and country

Which level best represents your current stage of professional development? If you are unsure, please refer to the document attached to the email this survey was sent with.*

Junior TherapistTherapistSenior Therapist

Qualifications*

Please upload proof of qualifications at the bottom of the page

Types of therapy *

EMDR, CBT, Ego State Therapy etc.

I work with: *

Adolescents, Early Childhood etc.

Short biography *

Please keep your biography to a maximum of 250 words

Link to your website (if any)

Before you submit your documents please ensure you have read, understood and complied with the following requirements:

You have accurately and honestly submitted all the documents that correspond to your qualification

You understand that authenticating of your documents can take up to three months of the date you submit it

We also reserve the right to remove you after we have included in you in our directory should we find that your documents, conduct do not align with BSCHIP’s code of conduct or adherence .

If you are from a country that doesn’t produce indemnity insurance, you will write to us to at the info@bschip.org.uk to inform us of this so appropriate discalimers can be associated with your profile/membership.

You agree for your profile to be on both the IACHIP & BSCHIP Therapist Directories

Signature

For the purpose of our therapist directory, please upload a professional headshot for use on the website, proof of qualifications, and valid proof of your current indemnity insurance.