User account

You can join AAPH by completing the application, below. The address information in this application will be shown to the public in our referral directory, so be sure to use your public/office address here. You will be asked for a billing address, which is not public, later in the payment process.

Be as complete as you can in the application, as this information will be used by our staff, indexed by Google and other search engines, and viewed by perspective clients seeking hypnotherapy services in you area.

If you are already an AAPH member, but you don't yet have an account on the web site, please complete the form below with your current information. We will verify your membership status before enabling web access to the member areas of the web site, and we will notify you when we have done so.

Account information

Username: *

Your preferred username; punctuation is not allowed except for periods, hyphens, 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.

Location

Street:

Your business street address.

City:

State:

Zip Code:

Professional Information

Professional Name:

When clients call, this line should tell them who they are calling, for example 'Jerry Smith, CCHT'.

Business Name:

If you have a business name, enter it here. Example: "Trancelines, Inc.". If you don't, leave this field blank. No need to repeat your Professional Name (above) here.

Profession:

Year began using hypnotherapy:

How extensively do you use hypnotherapy?:

Education, background, seminars, etc.:

Favorite or favorite area of use:

Memberships, Certifications, licenses, etc.:

Specialty:

If you specialize in a particular area (past life regression, smoking cessation, etc.), list it here and the public will be able to search for you by this subject.

Web site:

Include the "http://" at the beginning.

Blog:

Include the "http://" at the beginning. If you have a blog, you can enter the URL here and it will be displayed to the public and in the directory. If you blog here on the AAPH site, you can leave this field blank since your profile will automatically show those blog entries.

Appointment Phone:

The public phone number for clients to call for appointments

Public Directory

Publish Listing in Directory?: *

If you would like your contact information, background and qualifications, name and location to be publically available in the national referral directory, choose "Yes" here. (Note: this service is only available to members.)

Hours of instructor-led, live classroom training in hypnotherapy:

This number can be vetted at anytime so be sure you have documentation, school staff, etc. that can back up this number. This will be displayed to the public in search results and in the member profiles. Do not include home study hours, Internet course hours or self-study hours in this number.

Hours of home study or Internet course work:

Do not include time reading books that aren't part of a course from a school or teacher. Include hours spent working on home study programs, correspondence programs, and Internet courses. You can include testing hours.

Teaching and Training:

If you have taught hypnotherapy skills, choose the item that best describes your highest achievement in that area.

Statement & Membership

Membership Status: *

I have read and agree to abide by the AAPH Code of Ethics.

Read the Code of Ethics. As a member, you are bound to the association's Code of Ethics. Violating the Code of Ethics is grounds for immediate termination of membership.

Have you ever been disciplined, or are you currently under investigation, by any legal or licensing board?:

I certify that I have read and agree to all the terms of application, below.

I certify that the information I have provided in this application is true, correct, and complete. AAPH reserves the right to verify the information provided, and I give AAPH permission to contact the above mentioned schools and certifying agents, and to investigate my background and claims as AAPH sees fit. I may be asked to provide additional documentation. I agree that I will notify AAPH within 15 days in writing of any civil, criminal, or complaint that is made against me. I agree to hold harmless and indemnify AAPH and its officers, directors, employees, and agents for any misrepresentation of my credentials and for all claims, loss, judgment, or expense. I understand that in the case of termination of membership for any violation of the Code of Ethics, criminal conviction, or public complaints, there will be no refunds of member dues, member fees nor application fees.

Sign this application by entering your full name and the date: *

Enter your full name followed by a space followed by today's date, including the year.

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Here's a question that sorts the humans from the spam-bots.

What is the first word in the phrase "hynosis jump language label printer"?: *

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