In all cases if the member is unsure whether to treat a client, the client should be referred back to his/her psychiatrist or GP. In cases involving manic depressives, the client should seek his/her GP’s approval prior to commencing treatment.

Your Name:
Your Address:
Your Telephone Number:
Your Email Address:
Your AoR Member Number:
Name of Therapy/Treatment:
Are you a student
or qualified in this therapy? No Yes

Details of Therapy/Treatment:
Your Qualifications:
(Relevant to this therapy/treatment)
Governing Body/Association:
(Give details of contact or website)
Course Details:
(Give details of syllabus)
Give details of any invasive procedures used:
Give details of use of any electrical equipment: