Practitioner Directory Registration Form

Personal

Location

Credentials

Clinical

Practical

Contact

Review

Personal Information

Tell us about yourself and how you work.

Full Name *

Job Title *

Profile Photo *

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About Me * This will appear on your public profile. Be warm and personal.

Languages Spoken

English

Spanish

French

German

Mandarin

Cantonese

Arabic

Hindi

Portuguese

Italian

Greek

Vietnamese

Korean

Japanese

Auslan

BSL

ASL

Urdu

Bengali

Punjabi

Tagalog

Malay

Indonesian

Swahili

Turkish

Persian/Farsi

Hebrew

Dutch

Polish

Ukrainian

Russian

Gurjarati

Tamil

Telugu

Sinhalese

Somali

Amharic

Yoruba

Igbo

Other

About The Practitioner (optional — select any that apply to you)

LGBTQIA+ Identifying Person of Colour Indigenous/First Nations Neurodivergent Living with Disability Multilingual Lived Experience of Mental Health Faith-Based Practice Male Female Non-Binary Immigrant/Refugee Background Adoptee Single Parent Survivor of Trauma Recovering from Addiction Chronic Illness/Pain (Lived Experience) Vegan/Plant-Based Spiritual/Religious (non-specific) Christian Muslim Jewish Buddhist Hindu Atheist/Secular Age: 20s Age: 30s Age: 40s Age: 50s Age: 60s+ Other

Location & Session Format

Where are you based and how do you offer sessions?

Country *

State / Province *

How do you offer sessions? *

🏢 In-Person Sessions

💻 Online Sessions

City / Suburb * Enter the suburb or city where your practice is located.

Your location will appear as:

Credentials & Registration

Your professional qualifications and registration details.

Qualifications List your degrees and post-nominal letters.

Professional Regulatory Body * The organisation that you are professionally registered with.

Registration Number *

State/Province of Registration

I have confirmed that both the professional regulatory body and my registration number are correct, and understand that my account verification is based on the details provided.

Clinical Profile

Help clients find you by describing your clinical work.

Specialisations *

ADHD

Anger Management

Anxiety

Attachment Issues

Autism

Behaviour Support

Bipolar Disorder

Burnout

Chronic Illness

Chronic Pain

Communication

Depression

Eating Disorders

Emotions

Friendships

Grief & Loss

Identity

Infertility & Pregnancy Loss

LGBTQIA+ Issues

Life Transitions

Men's Issues

Mood Disorders

Motivation & Goals

Neurodiversity

OCD

Parenting

Personality Disorders

Phobias

Pregnancy & Postnatal

PTSD & Trauma

Psychosis

Relationships

Self-Esteem

Self-Harm

Sensory Processing

Sex & Intimacy Issues

Sleep Issues

Stress

Substance Use

Suicidal Ideation

Values & Meaning

Weight & Body Image

Women's Issues

Work & Career

Violence & Abuse

Other

These will be added to your specialisations list.

Top 3 Specialisations *

Select up to 3 from your chosen specialisations. These appear prominently on your profile and directory card.

You can only select up to 3 top specialisations.

Therapy Modalities

Acceptance & Commitment Therapy (ACT)

Acceptance-Based Therapy

Attachment-Based Therapy

Behavioural Activation

Cognitive Behaviour Therapy (CBT)

Compassion Focused Therapy (CFT)

Cognitive Processing Therapy (CPT)

Dialectical Behaviour Therapy (DBT)

Eye Movement Desensitization & Reprocessing (EMDR)

Emotion Focused Therapy (EFT)

Exposure Therapy

Family Systems

Gestalt

Hypnotherapy

Internal Family Systems (IFS)

Interpersonal Therapy (IPT)

Mindfulness-Based Therapy

Motivational Interviewing

Narrative Therapy

Play Therapy

Positive Psychology

Psychodynamic

Psychoeducation

Rational Emotive Behaviour Therapy (REBT)

Sand Tray Therapy

Somatic Therapy

Schema Therapy

Solution Focused Therapy (SFT)

Trauma Focused CBT

Other

Age Groups Seen

Infants (0-2) Children (3-12) Adolescents (13-17) Young Adults (18-25) Adults (26-64) Older Adults (65+)

Who I See

Individuals Couples Families Groups

Communities I Support

LGBTQIA+ Community HIV/AIDS Community Queer Community Neurodivergent Community Indigenous/First Nations Communities Culturally & Linguistically Diverse (CALD) Community Vegan/Animal Rights Community Sex Workers First Responders Veterans & Military Survivors of Abuse Chronic Illness Community Disability Community Religious/Faith Community Other

Service Details

Help clients understand your availability and fees.

Fees Enter each fee on a separate line. Include session length and currency symbol, e.g. "Standard Session (50min) - $220 AUD"

Appointment Availability

Weekday Mornings Weekday Afternoons Weekday Evenings Weekends Public Holidays 24/7 Crisis Support

Current Wait Time *

Referral Required?

Insurances & Rebates Accepted *

Showing options for: your selected country

Payment Methods Accepted

Credit Card Debit Card American Express Cash Bank Transfer PayPal Stripe Apple Pay Google Pay Venmo Zelle BPAY Cheque HSA/FSA Other

Contact Details

How can clients reach you to book an appointment?

Phone Number

Email Address *

Website *

Review Your Profile

Please check your details before submitting.

I confirm that all information provided is accurate and I agree to the Terms & Conditions

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Personal Information

Location & Session Format

Credentials & Registration

Clinical Profile

Service Details

Contact Details

Review Your Profile

Country/region