New Application for Membership

To apply, please fill out the following form with as many details as you can. Don't worry if you cannot fill all fields.

By completing this form, I confirm I am over 18 years of age and I have read and will comply with AcuC's Code of Professional Conduct & Safe Practice.

Please supply a copy of your certificates for Therapies you are qualified for, by email to: members@acupuncture-acutherapy.co.uk.

Annual Membership is £45.00 per year (subject to change). You will be notified of your acceptance & membership will start upon receipt of the fee.

General Information
Choose type of Membership:	Full Membership Student Membership
Name:
Business/surgery:
Telephone:
Mobile:
Fax:
Website:
Email:
Address 1:
Address 2:
Address 3:
Town/City:
County:
Postcode:
Country:
Qualifications Please list qualifications of the therapies you wish to register. This must include one Oriental Therapy.
Therapy No. of Contact Days College/School & Date Qualified
Please send PDF copies of all Certificates listed above to: members@acupuncture-acutherapy.co.uk
Student Training Information: If you are a student in training doing acupuncture or other therapy case studies approved by your training college, please supply the following information here:
Therapy Level College/School & Date Started
Information:

Yes No - Do you have valid Professional Indemnity Insurance to practise in the UK?
Yes No - Do you require AcuC's approved Professional Indemnity Insurance?
Yes No - I confirm that I will respond to any request from AcuC for evidence of my Professional Indemnity Insurance

 

Therapies Offered

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Acupuncture

Micro-systems

Chinese Herbalist

Indonesian Massage

Shiatsu

Japanese Integrated Medicine

Tai Chi

Thai Massage

Yoga

Tui Na Foundation

Tui Na Masters

Paediatric Tui Na

Other Therapies

 

Code of Professional Conduct and Safe Practice
Code of Professional Conduct and Safe Practice General Data Protection Regulation (GDPR): For Data Protection reasons, the only publicly available information on the Register will be your name, practice address including town/city, postcode, telephone number, email and /or web address, membership type, disciplines for which you are registered and date on which your registration expires. I have read and will comply with AcuC's Code of Professional Conduct & Safe Practice: