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IACAT Mailing Address

71 Lower Baggot Street

Dublin 2, D02P593

E: info@iacat.ie
T: 353 (87)9921746

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MEMBERSHIP APPLICATION

Please note that fees for April 2020- March 2021 have been reduced for professional members from €110 to €80 to assist members with recovery of practice due to Covid19.

These fees and all other membership fees will be taken in two instalments: April and Oct 2020.

Choose Discipline Of Your Application * Select Membership Type *

PERSONAL DETAILS First Name * Surname * Personal Email * Personal Phone * Organization name * Addr (Line1) * Addr (Line2) City/Town/Village * County * Postcode Country

MEMBERSHIP DATA Title of your Masters/Course of Study * College / University * Upload Your Masters Certificate Choose File

Are you a supervisor?

Title of Supervisor Course College / University Upload Your Completion Certificate Choose File Add to IACAT Supervisor Register

Other Professional Memberships Interest Groups

PUBLIC REGISTER Add to IACAT Website Therapist Register

Specialises in Locations/Counties you service Practice Address Practice Phone Practice Email Practice Website Brief Bio Sessional work Private Referrals

EMPLOYMENT/SKILLS PROFILE HSE Employee (PAYE) Private Practice Children/Adolescence Adults Groups Family Please Upload Your Insurance Certificate Choose File Educational Services Primary Secondary Third level Gov Health Services Adults Child/Adolescence Residential Care Hospitals Clinics/GPs Elderly Care Palliative Care ABI Other Forensic Services Prisons Probation Addiction Services Alcohol/Substance Gambling Other Disability Services Physical Intellectual Learning Other Voluntary Charities Social Enterprises Other

Have You Ever Had A Complaint In Your Proffesional Pracice YES
NO

What was the name of the organisation who dealt with the complaint?

I accept IACAT Code of Ethics of membership

Sign up to the iacat newsletter and keep up to date withthe latest news and events.

MEMBERSHIP APPLICATION

Sign up to the iacat newsletter and keep up to date with
the latest news and events.