APA Membership Application Form

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APA Membership Application Form

Before completing this form please ensure you have read and understand the application process to join the APA. Don't forget to email the supporting documents to info@apa.uk.com once you have completed the Application Form.

This application form has a number of questions, some of which require detailed answers. You can save the form and return to complete it at a later date if you wish.

Step 1 of 5 - Personal Details and Membership Type

1. Personal Details
Gender*
- Male
- Female
Title*
Name*
First Last
Date of birth*

Day
Month
Year
Nationality*
Home Address*
Street Address Address Line 2 City County Post Code Country
Email*
Enter Email Confirm Email
Home telephone*
Mobile*
2. Type of membership
Type of membership*

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3. Professional Ayurvedic Education
Name of the Ayurvedic course studied*
Name of the institution at which you studied*
Qualification Obtained*
Year of course completion
Was the course face-to-face or online?*
- Face-to-face
- Online
Exact number of contact study hours completed*
Therapists and Associate Therapists, please list the subjects covered during your study*
Can you email the APA an official qualification certificate for all courses listed above?*
- Yes
- No
Email to info@apa.com after form submission.
List location of clinical internship
Duration of clinical internship
Do you hold a qualification in Anatomy and Physiology at least NVQ level 3 and can provide a certificate?*
- Yes
- No
Email to info@apa.com after form submission.

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4. Clinic Details
Address of your clinical practice*
Street Address Address Line 2 City County Post Code Country
Website
Do you hold a practice UK registered professional indemnity insurance with specific cover for your Ayurvedic Practice?*
- Yes
- No
Important
- Please note that a valid insurance is a requirement of Practitioner, Therapist and Associate Therapist membership registrations.
- Associate members can be exempt from insurance requirement if they are practising as medical doctors.
- Please note that all Practitioner, Therapist, Associate Therapist members must send a copy of their new certificate each year at policy renewal.
- Please email your certificate to info@apa.uk.com once you have submitted this application.
How long have you been practicing Ayurvedic Medicine for?*
What is the area of your specialisation?*
How many CPD events in the field of Ayurveda have you attended in the previous calendar year?*

Please note that it is a requirement of the Associate Therapist membership to complete at least 4 CPD events each year.

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5. Other professional qualifications
Do you practice as a medical doctor within the NHS in UK or a medical body in your country?*
- Yes
- No
If yes please provide details.
Please list your other professional qualifications.
Are you currently a member of any other professional body in the United Kingdom or abroad?*
- Yes
- No
If yes, please provide the name(s)
Email to membership certificates to info@apa.com after form submission.

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APA Membership Application Form

HELP US TO HELP YOU

APA Membership Application Form

Step 1 of 5 - Personal Details and Membership Type

1. Personal Details

2. Type of membership

3. Professional Ayurvedic Education

4. Clinic Details

5. Other professional qualifications

6. Other information