Join the network

Partner Registration

Congrats on joining our network, enabling you to offer therapy services to your clients!

We're excited to have you!

Please take a few minutes to fill out this form in order to expedite the process for getting you up and running.

Indicates required question

Business details

Business Legal Name

Business Operating Name

Business Type

Corporation Sole Proprietorship

Facility Full Address

Date this facility started operating

Business Email Address

Business Phone Number

Owner / signing officer

Owner / Signing Officer Full Name

Owner / Signing Officer Title

e.g. Owner / Co-Owner / President / Director / etc.

Owner / Signing Officer Mobile Number

If different from above

Owner / Signing Officer Email address

If different from above

Sessions & team

Session Durations and Costs

Please list durations and cost for sessions you'd like to offer (e.g. 30 min - $85, 45min - $110, 60min $130, etc).

Physiotherapist Assistants

List full name, email and phone number for each person. Please put each person in a separate line.

We only use these details to set up your account with us.