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Recruitment : Psychologists

Position Applied for *

Your Details  
Title
Surname *
First Name *
Address
Address
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Daytime Telephone *
Evening Telephone
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Current Position
   

 Education/Training
Education:
Any Other Relevant Training:
Membership of Professional Bodies:
HPC registration number:
BPS Membership Number:
Theraputic Orientation:
Work Experience :
Other Relevant Experience:
Do you have your own consulting rooms?
If so where?
What is your usual fee for CBT/EMDR Therapy?
What Geographical Locations do you cover?
Are you able to provide home visits?
What Age Groups do you see?  
Child:
Adolescent:
Adult:
Elderly:
How much work would you like to do?
Clinical Reference:
Clinical Reference:
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