Health Pro Membership Application
Thank you for your interest in becoming a Health Pro Member!

Membership is open to regulated health professionals only.

Please fill out the details below so we may:

- ensure that you meet the criteria for Membership;
- screen for any conflicts of interest; and
- ensure that our Membership is able to meet your individual needs.

Sign in to Google to save your progress. Learn more
Email *
Please enter your first name *
Please enter your last name *
Which membership option are you interested in? *
Required
What is your regulated profession(s)? *
Ex: Naturopathic Doctor, Chiropractor, Registered Nurse, Physiotherapist, Psychotherapist, etc.
What province(s) or state(s) are you regulated in? *
Please provide the name(s) of your regulatory bodies *
What topics are you interested in learning more about? *
Required
What are your goals over the next 6 months? *
Is there anything else you would like us to know right now? *
Thank you - we'll be in touch with you soon!
Membership is limited in order to ensure quality interactions.

You'll be contacted within the next 2-3 business days to advise you of the status of your application, and your next steps.

A copy of your responses will be emailed to the address you provided.
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