Membership Application Form

You can contact the National Society for Psychotherapists by email

Full Name:

Full Address:

Email :

Mobile :

Website address (if you do not have one please enter "no"):

D.O.B:

Fully Qualified:

Fully Qualified

Student

Training Organisation:

Studying With

Studied With

Trainer:

Currently Insured With - Please Include A Copy Of Current Insurance Certificate - all members must be insured:

Qualifications:

Any Other Relevant Information?

Please confirm:

I have read and agree to adhere to the terms and conditions of NSPsy membership

Protecting Your Data - We Now Require Your Approval Before Responding:

If your application is accepted you are consenting to display your contact details in the therapist finder. You are able to cancel your membership & subscription to the NSPsy E-News at any time by using the unsubscribe link on the email.

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