Join Therapist Register

NB. Currently, only Victorian therapists are listed. National register is under construction.

Eligibility to join The Perinatal Loss Centre Therapist Register
In order to receive a listing on The Perinatal Loss Centre's Therapist Register, you need to fulfil the following criteria:

You have completed the online course through COPE, "Perinatal Loss in Practice: What Therapists Need to Know", and have received your certificate of completion
You are a Psychologist, Psychiatrist, Social Worker, Mental Health Nurse, Psychotherapist, or Counsellor and you are a member of at least one governing body such as AHPRA, AASW, ACMHN, PACFA, ACA
You provide your registration number for the above governing body

How to register
Please read the Terms and Conditions of your listing.
Please apply through the online form below.
Please note that it is your responsibility to update The Perinatal Loss Centre if your details change.

application to join the perinatal loss therapist register

* Indicates required field

Name *

First

Last

Title (e.g. Psychologist, Social Worker, Counsellor) *

Name of Practice/Organisation *

Email for clients *

Governing Bodies to which you belong (e.g. AHPRA, PBA, AASW, ACA) *

Registration number *

Name of Practice/Organisation *

Practice Address *

Practice phone number *

Practice fax number (if applicable) *

Website link (to your profile page) *

I declare that I have read and understood the terms and conditions yes/no *

I consent for the information I submit to be included in my listing yes/no *

Upload your certificate of completion *

Max file size: 20MB

Upload photo (jpeg) *

Max file size: 20MB

application to join the perinatal loss therapist register​

application to join the perinatal loss therapist register