1. Haven Practitioner Application Form

What are your contact details?

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* 1. What are your contact details?

How did you hear about The Haven?

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* 2. How did you hear about The Haven?

What treatments do you offer? Where did you complete your training? Please fill in the number of educational hours completed, and the number of years experience you have in Practice. Have you completed any Further Training / Education? If so please include this.
Do you have Professional Liability Insurance? If so with whom?

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* 3. What treatments do you offer? Where did you complete your training? Please fill in the number of educational hours completed, and the number of years experience you have in Practice. Have you completed any Further Training / Education? If so please include this.
Do you have Professional Liability Insurance? If so with whom?

Would you be happy to offer free taster sessions in order to help build your Practice?
If so how many per week?

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* 4. Would you be happy to offer free taster sessions in order to help build your Practice?
If so how many per week?

How would you describe your treatments?
How have clients described them?

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* 5. How would you describe your treatments?
How have clients described them?

How many hours are you available to do treatments per week?

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* 6. How many hours are you available to do treatments per week?

Do you have an existing client base in the area?
If so how many clients would you be bringing with you to treat at The Haven?

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* 7. Do you have an existing client base in the area?
If so how many clients would you be bringing with you to treat at The Haven?

How often do clients usually come to see you for treatments?

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* 8. How often do clients usually come to see you for treatments?

What are you planning to do in the way of marketing to build your client base in Ashburton?

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* 9. What are you planning to do in the way of marketing to build your client base in Ashburton?

Do you have any particular areas of interest / expertise?
If not, what conditions do you have most experience treating?
Thank you and I look forward to meeting you. Nicola

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* 10. Do you have any particular areas of interest / expertise?
If not, what conditions do you have most experience treating?
Thank you and I look forward to meeting you. Nicola

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