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Practitioner Registration

The following form will help us to populate your listing on our site. Please make sure that you answer it as thoroughly as possible before submitting as you will not be able to go back to it afterwards. It may be sensible to plan and save your answers elsewhere as you are not able to save the page and come back to it at a later date. If you have any trouble filling out this form or any questions for us, then please email [email protected], with the subject “Practitioner Listing” and one of the team will get back to you as soon as possible.

By submitting this form you confirm you have reviewed and accept Terms and Conditions.
All fields marked with * are mandatory.

Please enter short (1-2 sentences) information about you. This will appear on search result page.

Please enter full description about you and your services. This will be show on your profile page.

Please upload photo in JPG or PNG format (Max file size 10MB). Minimal image size should be 800 pixels by its shorter side. Picture still not uploading? Please send it to our picture checking elves at: [email protected]

If you practise in more than one clinic you can enter additional clinics' addresses in sections Clinic 2 and Clinic 3. Clinic name is optional.

Please tick all that apply

Are you a KOL (key opinion leader) ambassador for any companies?

Please list companies where you are KOL, separated with comma.

Please list any awards or accolades, separated with comma.

Please tick all Tweakments offered.

Please tick up to four brands that you offer.

Enter video URL (e.g. YouTube embed link).

Please enter a short review and include client's name.

Please enter a short review and include client's name.

Please enter a short review and include client's name.

Submitting...

practitioner-registration.php

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