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    Home > Membership > Directory Signup > Step 1/2


    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 R350.00 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) if you want your details included in the forthcoming 2008 Directory. Deadline: 31 January 2008.

    Title Name
    Surname Sex
    Address
    Region
    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




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