Facial Therapy Specialists International

Email Address *

Secondary email address

Having a secondary email ensures we can keep in touch with you even if you lose access to your primary email account

First Name *

Last Name *

Work Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Profession *

Type of Registration *

If 'other' please state your registration body

Professional Registration Number *

Healthcare Sector *

Have you completed an FTSI Foundation course? *

Have you completed an FTSI Practical course? *

Have you completed any other FP training?

Do you run facial palsy courses yourself?

Do you work in a FP multidisciplinary team (MDT)? *

A FP MDT should include at least a facial palsy specialist surgeon(s) and specialist facial therapist(s). Ideally the team should also incorporate psychological therapist(s).

How many years FP experience do you have? *

How many FP patients do you see per week?

Do you offer virtual therapy appointments?

Please provide an email address for referrals.

Do you offer private therapy?

Please provide an email address for referrals.

Do you wish to be added to the members network? *

This is on the website and visible to members only allowing for networking, peer support and collaborative working.

Do you consent to receiving FTSI email updates? *

This may include emails about your membership, education & training opportunities, research and FTSI news updates.

Can we share your information with third parties? *