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Application
First name
Last name
Are you currently an IAHAP member?
Yes
No
Company name
Professional Website
Professional Biography
Select all specialty designations you are applying for. Add additional specialties if needed.
Craniosacral Therapy
Aromatherapy
Energy Medicine
First Aid
Acupressure
Kinesiology Taping
Physical Therapy
Nutrition
Photobiomodulation
PEMF
Sound Therapy
Ozone Therapy
Mistletoe Therapy
Chiropractic/Osteopathy
Acupuncture
Cryotherapy
Shockwave Therapy
Other
Number of Specialities Selected
Name of Training Provider
Training Hours Completed
Are you certified in these modalities?
Yes
No
Other
Years of Experience
Describe your hands-on experience, case exposure, and species served in this specialty.
Supporting documents for this specialty (certificates, logs, case summaries, etc.)
Upload File
I certify that the information provided in this application is true and accurate to the best of my knowledge. I understand that each specialty designation is reviewed individually and may be approved, denied, or approved with conditions.
Yes
No
Would you like to be mentioned on social media acknowledging your speciality designation?
Yes
No
Fee per Speciality
Speciality Designation Fee
$75
Your name as you would like it listed.
Photograph or logo
Upload File
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