Join ISTI as a Speech Therapist - Independent Speech-Language Therapists of Ireland

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.

Successful applicants are required to pay annual dues of €80 cover the calendar year (Fees are are not prorated).

APPLY ONLINE

By completing this form you make the following declaration and confirm that you satisfy all membership criteria therein.
Should you have any questions you can contact us by Email [email protected].

Annual dues should be paid once your application has been approved by the membership secretary (this process may take two weeks).

I confirm that the following declaration is accurate and I satisfy the criteria for membership

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.

Confirm

Section 1 of 4 (Your qualifications and affiliations)

Qualification information

Year of Qualification to confirm 2+ post-qualification experience

CORU Reg Number or Application Reference (required)

Other Affiliations

IASLTRCSLT

ASHAOther

Section 2 of 4 (Practice Details)

Practice Name (required)

First Name (required)

Last Name (required)

Address (required)

E-mail Address (required)

Secondary E-mail Address

Your website

Mobile Number

Phone Number

Username (required)

Password (required)

Confirm Password (required)

Section 3 of 4 Regions Covered and Specialisations

This is where you can select where you would like to be listed, as well as selecting which client groups you cover.

Counties Covering (required)

Client Profile - Adult / Child (required)

Areas Treated - Children

Areas Treated - Adults

Section 4 of 4 (Additional Information)

If you prefer you can complete this section once your application has been approved.

You can compose a statement about yourself that is between 50 and 150 words. The association only represents members, so avoid mentioning staff who are not members. Please type your statement below:

Facebook URL

Twitter

About my practice

Availability

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