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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 Other Professional Memberships Interest Groups Title of your Qualification/Course of Study * College / University * Upload Your Completion Certificate Choose File

Are you a supervisor?

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

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