Portal registration form Registration Form Form to register with the Herbal Alliance Step 1 of 7 14% Welcome to the Herbal Alliance Registration form. This form allows you to apply as a Member and will create an account for access to the Professional Portal. Please note that you will not have access until your membership has been approved. Approvals can take between 7 to 14 days after you submitted your application. This site is accessible to Professional Herbalists, or Student Herbalists on a practitioner course in the UK and Ireland. Please select the relevant option(Required)Please note that you must be based in the UK or Ireland to sign up or belong to a collaborating Professional Association. I am a Professional Herbalist registered with a collaborating Professional Association. I am a Professional Herbalists who is not registered with a Professional Association or I belong to a Professional Association that is not a part of The Herbal Alliance I am a Student of a Professional Herbalist Course. None of the above. Personal DetailsName(Required) First Last Email(Required) Enter Email Confirm Email Registered Professional HerbalistPlease ensure that you enter the following information accurately and that you provide all the necessary information. Missing information will slow the approval process of your account.Please select your Professional Association(Required)If you belong to multiple Professional Associations, please enter your main one. Association of Chinese Herbalists in IrelandAssociation of Master Herbalists (AMH)Association of Traditional Chinese Medicine (ATCM)Ayurvedic Professionals Association (APA)British Association of Accredited Ayurvedic Practitioners (BAAAP)British Association of Traditional Tibetan MedicineCollege of Practitioners of PhytotherapyFoundation for Insight HerbalismInternational Register of Consultant HerbalistsIrish Institute of Medical HerbalistsIrish Register of Chinese Medical Herbalism (IRCMH)Irish Register of HerbalistsNational Institute of Medical HerbalistsProfessional Register of Traditional Chinese MedicineRegister of Chinese Herbal MedicineUnified Register of Herbal PractitionersPlease select how you want to confirm your membership to the Professional Association(Required) I am listed publicly on the Professional website registry or map. I can share an up to date copy of my Professional Association Membership Certificate. I can do neither of the above (This option will drastically delay your application). Proof of Membership to the Professional AssociationPlease upload a photograph or digital copy of your Membership Certificate(Required)Accepted file types: jpg, jpeg, gif, png, pdf, doc, docx, heic, Max. file size: 25 MB.Please paste the link of your profile or the page that lists you on your Professional Association's website.(Required)This can be your profile page, your "Find a Herbalist" listing or the register listing on the website of the Professional Association you mentioned previously. Membership Number or Registered Email(Required)If you are registered to one of the listed Professional Associations (PA) but can not prove your membership using any of the given options, please enter your Membership Number or the email that you have registered to your PA with. We will have to email your membership secretary and wait for response. Please note that this will seriously delay your application. Student of a Professional Herbalist CourseProfessional Course Confirmation(Required) I confirm that my course is accredited to a Professional Association in the UK or Ireland and will train me to become a Professional Herbalist My course is not an Accredited Professional qualification Please upload a photograph or a digital copy of(Required)To facilitate and speed up your Account Approval, please upload a PDF, screenshot or a photograph your Practitioner Course/Training Attendance or Confirmation Letter from your school. You can contact your course coordinator to send you such a confirmation. This must contain your name and the name and professional nature of the course you are on. We will not approve applications submitted with screenshots of your bank payments, student finance letters or of your online school account or documents for non-professional courses.Accepted file types: jpg, jpeg, gif, png, heic, pdf, xls, doc, docx, xlsx, Max. file size: 25 MB. About you and your clinicWe wish to be inclusive of all types of Professional Herbalists practising in the UK & Ireland. However, the Herbal Alliance is not a Professional Association (PA) and can not represent nor endorse your practise. The nature of a Professional Association is to maintain a certain standard of professionalism in clinics and to offer its members with professional support. While we highly advise you to be registered with a UK or Irish PA, we will still process your application. This will be a delayed process as we may require more information from you and we might need to get in touch with you. Please ensure you add info@herbalalliance.uk to your address book to avoid any communication ending up in spam.Are you currently practising in the UK or Ireland?(Required) Yes No Please enter the website of your clinicNot required but will help during the decision making of your application Please enter the address of your ClinicNot required but will help during the decision making of your application Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Do you belong to a Professional Association that is not currently collaborating with the Herbal Alliance?(Required) Yes No Please enter the name of the Professional Association you belong to(Required) Do you have a qualification in Herbal Medicine?(Required) Yes No Please upload a copy of your qualification(Required)Accepted file types: jpg, jpeg, gif, png, heic, pdf, xls, doc, docx, xlsx, Max. file size: 25 MB.Are you insured to practise in the UK or Ireland?(Required) Yes No Please upload your proof of insurrance(Required)Accepted file types: jpg, jpeg, gif, png, heic, pdf, xls, doc, docx, xlsx, Max. file size: 25 MB. Account DetailsUsername(Required)This can as simple as your first and last name or the same as any other social media usernames (e.g. janedoe or johndoe). This will be used as your personal user profile link (I.e. portal.herbalalliance.uk/username). Password(Required) Enter Password Confirm Password We are sorry but you can not proceed further with this application. We are currently only accepting applications for Professional Herbalists and Students of Professional courses based in the UK or Ireland. This might change in the future as we expand our memberships. If you believe you should be able to get an account or you want to contact us, please get in touch with us. Please click here to return to the Herbal Alliance websiteWe are sorry but you can not proceed further with this application. We are currently only accepting applications for fully insured and qualified Professional Herbalists. If you believe you should be able to get an account, please get in touch with us. Alternatively, click here to return to the Herbal Alliance websiteWe are sorry but you can not proceed further with this application. We are currently only accepting applications for Students of Professional courses based in the UK or Ireland. Please click here to return to the Herbal Alliance websiteWe are sorry but you can not proceed further with this application. We are currently only accepting applications for fully insured and qualified Professional Herbalists. If you believe you should be able to get an account, please get in touch with us. Alternatively, click here to return to the Herbal Alliance websiteBy submitting this form, your application will be sent to our team for approval. This can take between 7 to 14 days, or longer if you are a non-registered professional herbalist. Your account will be created upon submission. You will not be able to access the Portal until your account has been approved by a member of our team. An email will be sent to you once your account is active. If you need to get in touch with us, please click here.Terms of Service(Required) By creating an account you are agreeing to the Terms and ConditionsPrivacy Policy(Required) I agree to the terms of the Privacy PolicyNewsletter(Required) I agree to join the Herbal Alliance Newsletter (I can unsubscribe from it later)
