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YOUR GAPS CLINIC BUSINESS PROFILE
Your profile details below will be added to the Practitioner Listing when you are ready to practice
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Practitioner Registration Status *
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IMPORTANT Remember to renew your registration each year on this date to remain on the Practitioner Listing
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(area code) + number
LEAVE NO SPACES BETWEEN NUMBERS & NO BRACKETS
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(area code) + number
LEAVE NO SPACES BETWEEN NUMBERS & NO BRACKETS
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PROFESSIONAL
Your professional qualifications and area of special interest
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ie: Naturopath, Nutritionist, Nutrition Consultant
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ie: Specialising in women's health, autism, heart health, autoimmune disorders or
Simply state if you do not have a specialty
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YOUR CLINIC/PRACTICE STATUS
Activate your ONLINE Business Profile on Dr Natasha's Worldwide Practitioner Listing and GAPS Diet Australia's Practitioner Listing
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Are you in active practice and ready to receive GAPS clients now? *
If YES, you will be added to both Online Practitioner Listings.
If NO, we can add your profile later when you are ready to accept clients by submitting this form again.
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CREATE YOUR USER NAME AND PASSWORD BELOW TO ACCESS THE PRACTITIONER FORUM
THIS SECTION MUST BE COMPLETED IF YOU ARE A NEWLY CERTIFIED GAPS PRACTITIONER. If you already have access and are just renewing your registraion, there is no need to complete this section
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Must be between 8 and 12 characters. Currently Entered: 0 characters.
Must have at least 1 alpha and 1 numeric
NO SYMBOLS, FULL STOPS OR DASHES
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Must be between 8 and 12 characters. Currently Entered: 0 characters.
Must have at least 1 alpha and 1 numeric
NO SYMBOLS, FULL STOPS OR DASHES
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Your account access to the forum may take a few days before it is activated. If you are ready to receive GAPS Clients now, your business profile will be added to the Worldwide Listing on Dr Natasha's website, at the same time.
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