APA Membership Application Form

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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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1. Personal Details