Australian Hypnotherapists Association

Prefix

First Name

Middle Name

Surname

Gender

Date of Birth

Organisation Name

Contact Details

Home Phone

Work Phone

Mobile Phone

Fax

Email Address

Send correspondence to this address

Secondary Email

Send correspondence to this address

Primary Address

This is your mailing address. Print mail is sent to this address.

Addresses

Home Address
Work Address

Address 1

Suburb / Town

Postcode

State

Country

Address 2

Suburb / Town

Postcode

State

Country

Subscribe to

Email Newsletters

Relevant Qualifications

Website

About my practice

Specialties

Training Institution

Hypnotherapy qualifications

Language spoken other than English (leave blank if none)

Supervisor (AHA)

I consent to my name being placed on both the AHA and the HCA practitioner registers

3 character references

Emailed to administrator@ahahypnotherapy.org.au

All documentation to be emailed to AHA administrator

All below documents emailed to administrator@ahahypnotherapy.org.au

Drivers licence or passport ID

Emailed to administrator@ahahypnotherapy.org.au

Qualifications sighted

Please email copies of all hypnotherapy qualifications to administrator@ahahypnotherapy.org.au

Current insurance certificate of currency expiry date

Current Provide First Aid expiry date:

Working with children check expiry:

Current Police check - expiry is 3 years from date of issue:

Agreement 1:

I have read and agree to abide by the AHA’s Code of Ethics.

I agree to hold the AHA indemnified for all judgments and costs awarded against it or incurred by it as the case may be in any action against it arising directly or indirectly from my conduct as a Hypnotherapist.

Agreement 2:

I understand that the yearly Membership Registration fee is due on the 31st of March each year

Agreement 3:

I understand and agree that the Executive of the Association may from time to time during the tenure of my membership review and amend its policies and procedures;

and that all relevant amendments will apply to me from the date specified by the Executive.

Agreement 4:

I understand and agree that a condition of my membership in the Association is that I will maintain in force at all times with an approved Insurer a Public Liability Policy and a Professional Indemnity Policy

each one providing Indemnity for my practice as a Hypnotherapist for an Indemnity amount of not less than $2 million Professional Indemnity Insurance Cover and $10 million

under each of the two classes of insurance and that I will lodge a copy of each Certificate of Currency with the Association.

I also understand and agree that I will maintain a current First Aid Certificate. NB: An invalid Certificate may void Professional Indemnity Insurance / AHA Membership and the ability for your clients to receive a Health Fund Rebate.

I agree that a further condition of my membership of the AHA is that I undertake a minimum of 20 hours each year of studies/training which may be in the form of workshop/seminar attendances or other courses which would be seen as enhancing my hypnoth

I also agree to undertake a minimum of twelve (12) hours of one-on-one Supervision each year OR a minimum of Twenty-four (24) hours of Peer Group Supervision or a mixture of both Supervision models per year.

I further agree to attend at least 50% of the Association’s State meetings/workshops unless it can be shown that there was a valid reason for not being able to do so.

I also agree to maintain an adequate professional library.

Add Ons

HCA Directory fee (this is mandatory unless you are paying via another association)	This Register unites the profession to provide a single, easy and reliable source of information to find a hypnotherapist, regardless of which association they belong to.	$50.00

Payment

Fees Due

Joining Fee:	complete home address to see fee
Membership Fee:	complete home address to see fee
Add Ons:	complete home address to see fee

Discount Code

Payment Method

Card Type

Visa Mastercard

Name on Card

Card Number

Card Expiry

/

It looks like you haven't completed your Primary Address.