Dear WCAIMH member,
Please complete the following questions to be included on our list of practitioners who are willing to provide online support to parents or expectant families. We appreciate your willingness to provide your time and expertise to those in need. 
Thank you!

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* 1. Please insert your name and surname

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* 2. What is your professional category?

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* 3. What online services are you able to provide? (Please select all that apply)

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* 4. Which client populations are you offering services to? (Please select all that apply)

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* 5. When are you able to provide services? (Please select all that apply)

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* 6. Please provide a brief description of your areas of interest and specialisation.

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* 7. What contact details would you like us to provide for your services?

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* 8. What fees would you charge for your online services?(Please select all that apply)

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* 9. Are you willing to provide pro-bono services?

0 of 9 answered
 

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