Avalon IT - Healers & Therapists directory

Glastonbury
HEALERS & THERAPISTS
[G-CAM] online directory

enter Practice/Practitioner profile:

Please fill in the following information for each practice or practitioner data profile you wish to post to us for inclusion in the Glastonbury Healers & Therapists Directory (online version). When you have finished, press the 'submit all data' button. Thank you.

Healing / CAM practice

* Trading name :

Practitioner contact (first name) :

* Practitioner contact (surname) :

Professional accreditation(s) :

(Therapeutic) occupational title :

* Therapies offered :

Keywords :
(will not appear in information displayed, but will be used by search engine when searching through all records)

Practice location

Street number :

Street name :

Town :

* Postcode :

* Telephone number (practice) :

Telephone number (personal) :

Telephone number (mobile) :

e-mail address (practice) :

e-mail address (personal) :

website address (practice) :

website address (personal) :

Practitioner details (personal)

Sex :

Age (or age-group) :

Practitioner details (professional)

Training & qualifications :

Professional affiliations :

No. of years in practice :

No. of partners involved in practice :

Is practice full-time / part-time / occasional ? :

What public liability or professional insurance policies do you hold ? :

Therapies

Therapy/-ies practised; & fees for each :

Principal therapy practised :

Do you offer concessionary rates ? :

Is practice carried out in / from home ? :

Clientèle

Do you offer clients onsite / home visits ? :

Do you observe any age restriction on clients ? :

Do you give workshops / courses / seminars ? :

It would help us greatly if you could list all local practitoners of other therapies (complementary to your own) whom you would recommend to your own clients :

Practitioner bio-details (optional)

Personal or practice image file to upload
(.jpg or .png only) :

Image caption ('alt' text) :

Personal bio-details (up to 150 words approx.) :

Please indicate here any personal details you have given for administration purposes, but which you do NOT wish to have made available to the general public :

Practitioner agreement

I agree to having my Practice / Practitioner information as given above made publicly available
via this website only - no information will be passed on directly to third parties.

Please confirm your acceptance of our terms & conditions for inclusion
in the G-CAM online directory by inserting your name in the box below :

Accepted by

download this form (in .pdf format)
[download Terms & Conditions (in .pdf format)]

back to G-CAM front page

* Trading name :
Practitioner contact (first name) :
* Practitioner contact (surname) :
Professional accreditation(s) :
(Therapeutic) occupational title :
* Therapies offered :
Keywords : (will not appear in information displayed, but will be used by search engine when searching through all records)

Street number :
Street name :
Town :
* Postcode :
* Telephone number (practice) :
Telephone number (personal) :
Telephone number (mobile) :
e-mail address (practice) :
e-mail address (personal) :
website address (practice) :
website address (personal) :

Training & qualifications :
Professional affiliations :
No. of years in practice :
No. of partners involved in practice :
Is practice full-time / part-time / occasional ? :
What public liability or professional insurance policies do you hold ? :

Therapy/-ies practised; & fees for each :
Principal therapy practised :
Do you offer concessionary rates ? :
Is practice carried out in / from home ? :

Do you offer clients onsite / home visits ? :
Do you observe any age restriction on clients ? :
Do you give workshops / courses / seminars ? :
It would help us greatly if you could list all local practitoners of other therapies (complementary to your own) whom you would recommend to your own clients :

Personal or practice image file to upload (.jpg or .png only) :
Image caption ('alt' text) :
Personal bio-details (up to 150 words approx.) :
Please indicate here any personal details you have given for administration purposes, but which you do NOT wish to have made available to the general public :

Practitioner agreement
I agree to having my Practice / Practitioner information as given above made publicly available via this website only - no information will be passed on directly to third parties. Please confirm your acceptance of our terms & conditions for inclusion in the G-CAM online directory by inserting your name in the box below :
Accepted by

GlastonburyHEALERS & THERAPISTS[G-CAM] online directory

enter Practice/Practitioner profile:

Glastonbury
HEALERS & THERAPISTS
[G-CAM] online directory