This is the application form for Speech Therapists who wish to become full members of ISTI and have their practice listing displayed on the ‘Find a Therapist’ page, as well as gain access to the members area.
If you are a healthcare professional in independent practice in another clinical discipline, you may wish to become an Associate Member by clicking here.
By completing this form you make the following declaration and satisfy all membership criteria therein. Should you have any questions you can contact us by Email email@example.com.
- I have not been and am not now subject to any form of criminal or disciplinary proceedings, either inside or outside of this jurisdiction.
- I further declare that I have full legal authority to work in this jurisdiction including all appropriate visas and permissions to work in private practice.
- I am fully qualified to practice speech and language therapy in Ireland and comply with all of Revenue’s requirements for independent contractors or companies.
- I hold all required professional and public liability insurance necessary for private practice.
- I hold more than the minimum of two years post graduate work experience.
- I acknowledge and indemnify in full the ‘ISTI’ for any breach of this declaration, whether the breach is deliberate, accidental or inadvertent on my part.