REGISTRATION FOR ALTERNATIVE THERAPISTS

Hello Alternative Therapists and other Health and Wellness Professionals,
We invite you to join our team to provide your expert services to our patients through online and offline mode — on a full-time, part-time, or freelance basis.
If you are interested, then please fill up the following form:

REGISTRATION FORM FOR ALTERNATIVE THERAPISTS

Fill up the form properly and upload your recent profile picture.

Name*

Age*

Gender*

WhatsApp / Telegram Number*

Alternate Mobile Number (if any)

Email*

Address*

City*

State*

Country*

Upload Profile Picture*

Languages Spoken*

Working Mode*

Do you provide home visits?*

Yes No

Working Hours*

Educational & Professional Qualification*

Modality of Treatment*

Ayurvedic & Doctors
Homeopathy & Doctors
Reflexologists
Psychologist & Psychotherapist
Meditation, Yoga & Pranayama Therapists
Diet and Nutrition Therapist
Cosmetologist & Beauty Counsellor
Grooming & Personality Counsellor
Spiritual Healers

Working Experience*

Ailments Treated*

Consultation Fee*

Fee for Online Consultation*

Fee for In-Clinic Consultation*

Fee for Home Visit*

About Yourself*

Terms & Conditions

You shall not ask clients for contact details.
No unauthorized sessions or payments.
Session outcome is your responsibility.
Reschedule disrupted sessions at no extra cost.

I allow Ultimate Bliss Foundation to publish my profile. I accept all terms and conditions. I confirm that all information provided is correct.