HOME
EMAIL
DISCLAIMER
ABOUT US
MY PSYSSA
ABOUT THE PROFESSION
WHY JOIN PSYSSA
TARIFF UPDATES
EVENTS
CONGRESS 2010
NEWS
SAJP
PSYTALK
CONSTITUTION
HISTORY OF PSYSSA
EXECUTIVE
ANNUAL REPORTS
AUDITED FINANCIALS
AGM
ETHICS
CONTACT US
WHAT IS A PSYCHOLOGIST
HPCSA REQUIREMENTS
WHY JOIN
REGISTER FOR PSYSSA
RENEW YOUR MEMBERSHIP
REGISTER FOR THE PSYSSA DIRECTORY
REGIONAL EVENTS
INTERNATIONAL EVENTS
LATEST NEWS
PRESS RELEASE
ARCHIVES
EMAIL
JOURNAL
CPD
BLOG
DIVISIONS
PROFESSIONAL IDEMNITY INSURANCE
ARCHIVES
LINKS
PRE-CONGRESS WORKSHOP REGISTRATION FORM
FINAL CONGRESS PROGRAMME
EXHIBITION
TRAVEL AND ACCOMODATION
PSYTALK
ADVERTISE IN PSYTALK
ARCHIVES
Home > Membership > Directory Signup > Step 1/2
DEADLINE: 29 January 2010
This official PsySSA Directory of Psychologists in Private Practice is widely relied on for referrals countrywide. Invaluable referrals from the PsySSA office and various other agencies are made from this national Directory, which is the only dedicated Psychologists' Referral source in South Africa.
Kindly complete and submit this form (plus a cheque for
R400.00 incl. VAT
or make a direct deposit into PsySSA ABSA Bank Account number: 1630 1650 98 and fax the deposit slip to the PsySSA office) by
29 January 2010
if you want your details included in the forthcoming
2010 Directory. No late entries will be accepted!
Title
Mr
Mrs
Ms
Dr
Prof
Name
Surname
Sex
Select sex
Male
Female
Address
Region
Please select a region
Eastern Cape
Free State
Gauteng
KwaZulu Natal
Limpopo Province
Mpumalanga
Northern Cape
North West Province
Western Cape
Postal Code:
Work No.
Home No.
Cell Number
Fax Number
Email
HPCSA Number
Registration Category
Languages
Primary Therapeutic Approach
Preferred Client Age Group
Focus Area 1
Focus Area 2
Focus Area 3
Focus Area 4
Focus Area 5
Focus Area 6
Focus Area 7
Focus Area 8
Other
