WOMEN'S HEALTH TRAINING ASSOCIATES - Supporting Physiotherapists Working in Women's Health
WHTA Membership Application - NEW MEMBERS 
 


All new Membership Applications will provide membership from the date of application. Note this is a once off joining fee. There is no yearly re-subscription.
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APPLICATION FORM - NEW MEMBERS
 
On receipt of your completed form we will aim to send your invoice for payment within 3 days
 
Name (Surname, First Name)
Gender
Female
Male
Email Address no. 1
Email Address no. 2
Address
Mobile Phone Number
Home Phone Number
Work Phone Number
Physiotherapy Registration Number (required if wanting to apply for Practitioner Listing)
Membership Type
Best Description of Current Work
Areas of Primary Interest
Pelvic Floor - Stress Urinary Incontinence
Pelvic Floor - Overactive Bladder / Urgency / Freq
Pelvic Floor - Postnatal Trauma
Pelvic Floor - Genitourinary Pain Disorders
Pelvic Floor - Bowel Dysfunction
Pregnancy - Musculoskeletal
Pregancy - Exercise
Breast Cancer Recovery