PLTA Members Therapists Directory Changes
Please only fill in the areas where you wish to have changes made.
Your updates will be published once checked by us.
Your Name (mandatory requirement)
Address for Correspondence
(What you wish to have shown on the database)
Web Site Address
Please enter the details for your web site database. Up to 100 words (for examples please see the database HERE)
Please list any additional qualifications.
Memberships with other Associations
Any other information you wish to tell us
I have read and agree to abide by the Associations
Code of Conduct and Terms and Conditions