To register as a therapist, and gain access to clients in the Ottawa area, simply complete the registration form below. Your information will only be used for the purpose of verifying your credentials.

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First Name *

Last Name *

City *

Postal Code *

Email Address *

Confirm Email *

Phone Number *

Regulatory Body or College *

Registration No. *

Image

Website

Speciality 1

Speciality 2

Speciality 3

Speciality 4

Speciality 5

Password *

Confirm Password *

Register as a Therapist

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