Apply for a Practitioner Account - Indigo Herbs

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Username *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.

E-mail address *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Confirm e-mail address *

Please re-type your e-mail address to confirm it is accurate.

Main profile

Private Information - for our use only

Qualifications

In order to appear on our find a practitioner directory you will need to provide relevant documents.

This must include your proof of insurance and your qualifications.

If you are having problems uploading, please email your documents to practitioner@indigo-herbs.co.uk. Be sure to also include your username

You can upload multiple files (allowed files: png, gif, jpg, jpeg). This information is for our records only and is private, so customers will not have access to this.

Add a new file

Files must be less than 32 MB.
Allowed file types: png gif jpg jpeg.

Profile Information - public information

Profile *

This information will form part of your published profile if you are accepted into our online practitioners directory.

Practice Address(es)		Order
	Business name Practice Address Country Address 1 * Address 2 Town/City * County Postcode *	Weight for row 1

Please fill out your practice location(s) here. To add another, please just click "Add another item" below.

Once you are approved as a Practitioner, these locations will appear on our Practitioners Directory, so please make sure to fill in your practice address details correctly. If you don't fill this in, you will not be approved on our directory.