Form for Accreditation of Wellness Services Name Last Name Full Address Country Date of Birth Gender Female Male Phone Number Primary Contact Email Choose: 1 Wellness Service 2 - 5 Wellness Services 6 - 10 Wellness Services Your Website Your Social Media The Therapies you Offer Copy of your Qualifications A picture of you (for the Directory) Are you Insured? Yes No Have you had any sanctions passed against you by another regulation awarding body or accreditation board? Yes No Comments or Questions Send
