Registration

Home » Registration

1 My Details

2 Verification

3 My Profile

Log in details
Your log in details will give you access to the Members' Area once you have successfully completed the registration process.
Email*
Enter Email Confirm Email
Password*
Enter Password Confirm Password

Strength indicator
Contact details
These contact details will not be displayed on your online profile, they are for our records only.
Title*
First name*
Surname*
Phone Number*
Address
ZIP / Postal Code

4QGY-IACH-W61Y-WF2I

alanstokes1147448

1

0

Select an address:

Name/Number and Street Address Line 2 Town/City County
Other details
How did you hear about our service?

Verification
Please fill in the section below to complete the verification process. Click next when you have finished.
Proof of Membership with a Professional Body
Please add which Professional Body you are a member of (you may add more than one):
Please upload any supporting documents or certifications
Drop files here or
Can your details be found on your Professional Body's website?*
- Yes ( We will match your details with those displayed on your Professional Body's website)
- No ( You will need to send a copy of your membership card or a letter on headed paper from your Professional Body confirming your current membership. It must also be clear what membership category you hold if your professional body has different categories)

Profile details
The information in this section will be used to create your online profile, and can be updated in the Members' Area at any time once you have completed this form.
Membership Level
Total
£ 0.00
Profile Picture
Name to display on profile
About
Profile
Featured Video
Drop files here or

Accepted file types: mp4, m4v, mov, wmv, avi, mpg, ogv, 3gp, 3g2.
Video
Drop files here or

Accepted file types: mp4, m4v, mov, wmv, avi, mpg, ogv, 3gp, 3g2.
Gallery
Drop files here or

Accepted file types: jpg, jpeg, png, ico, gif.
Gallery
Drop files here or

Accepted file types: jpg, jpeg, png, ico, gif.
Gallery
Drop files here or

Accepted file types: jpg, jpeg, png, ico, gif.
Work address
The address you enter here will be displayed on your profile, you need to enter full postcodes in order for us to determine your exact location for the search results.
Use my personal address
Address
ZIP / Postal Code

4QGY-IACH-W61Y-WF2I

alanstokes1147448

1

0

Select an address:

Name/Number and Street Address Line 2 Town/City County
Address Line 1
Address Line 2
City
County
Postcode
Contact details
Work Phone Number (this number will be displayed on your profile, but hidden)
Mobile number
Website
Profile information
General information about you and your service*
Training, qualifications & experience*
Fees
Service Name Fees
Areas of counselling you deal with*
(Please list your areas of counselling. Please list one per line, e.g. stress management, anger management)
Type of therapy you offer
Session types
Select the types of session you offer.
- In Person
- Online
- Phone
- Home Visits
Availability
Please type in the hours you work using the following format e.g. 9am - 5pm. If you work split hours, then please use the format 9am - 1pm and 3pm - 6pm. The text in your profile will be displayed exactly as you type it.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Discounts

Contact Us

Visit our Office or call us directly

Counselling Near Me
3rd Floor
3 The Crescent
Plymouth
PL1 3AB

Log in details

Contact details

Other details

Verification

Profile details

Work address

Contact details

Profile information

Session types

Availability

Contact Us

Visit our Office or call us directly

Counselling Near Me

Opening Hours

Our Links

Follow Us

Service Name	Fees