Membership Application Form

Please upload a copy of your current practice leaflet if you have one
Give details below of all courses studied since leaving secondary school and any qualifications held, with date and place. Please include with this application a copy of your degree/diploma certificate.
Please upload a copy of your degree/diploma certificate
Give details of any other experiences such as research projects, membership of other organisations and anything else you feel is relevant to your application for membership.
You are requested to nominate two referees who are currently members of a recognised professional association (e.g. CPP, NIMH, URHP, AMH) and who have personally known you for a minimum of two years, including one who can confirm your practice details (above).
You are requested to nominate two referees who are currently members of a recognised professional association (e.g. CPP, NIMH, URHP, AMH) and who have personally known you for a minimum of two years, including one who can confirm your practice details (above).