Form Builder

Your Details

First Name

Your Legal Name as to be shown on Certificate

Last Name

Address

Please enter your full postal address.

Your full address is not published on the site but helps with customers finding your listing by location.

Postal Code

Country

Date of Birth

Please use format, e.g. 26/01/1963 (or click/tap the calendar icon)

Gender

Male
Female
Other/Not Specified

Phone Number

Please specify your full phone number including international code if possible.

Email Address (as to be shown on listing)

Please take care to enter your email address correctly, as it is also our primary means of contact with you.

Access to your Member Dashboard

Accessing Your Member Dashboard

Access to your member's dashboard will require your membership number (provided after membership approval), and a username of your choice. Please choose your username from these options:

I will use my contact email address specified above
I wish to specify a different email address
I wish to specify a username that is not an email address

Email Address for Member Dashboard

Username for Member Dashboard

Please use only letters, numbers or any of the following symbols: -$@~_. Minimum length 6 characters.

Membership/Profile Information

Website

If you have a web page and would like us to link to it in your profile, please give details here.

Social Media

Please enter any social media links that you have and would like linking from your profile. This helps us promote your services.
NOTE: A FULL URL or LINK IS REQUIRED (typically beginning with https://)

Facebook Page

X (Twitter)

Instagram

YouTube

TikTok

Therapies you offer

Please provide a list of the therapies that you are qualified in and currently offering. Please ensure that you only include the therapies that you are currently providing. If you wish to add more therapies in the future, do let us know.
Please note that we may request a copy of your qualifications to verify your expertise.

Are You Insured?

Insurance Provider

Please provide the name of your insurance provider.

Membership Photo ID badge required?

A membership badge is a great way to let your clients know you're IPHM accredited.

Membership Photo ID badge required?

Example Membership Badge

example membership badge

If you require an IPHM Members photo ID badge, please upload a photo (below) or send one separately via email.

Photo

"A Picture is Worth A Thousand Words"
When it comes to successfully marketing and promoting your business, a passport style photo of you will help to boost your profile and trust for your clients.

Max. file size 5Mb - JPEG/PNG format

Profile Page

Utilize your public profile page to your advantage as it presents an excellent opportunity to market your services in your own unique way. Nobody knows your business better than you, so make the most of this chance.

Comments

We encourage you to include any additional information that you believe may be pertinent when completing your application form.

Keywords

Please enter up to 5 keywords, separated by a comma. This helps customers find your listing.

Sanctions

Have you had any sanctions passed against you by another regulation awarding body or accreditation board?

Accept Terms

Please confirm you have read, agreed and understood the IPHM Beauty Terms and Conditions

Accept Terms

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