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 *

Profession *

Professional Registration Number *

Type of Registration *

If 'other' please state your registration body

Healthcare Sector *

Work Address *

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

Have you completed an FTSI Foundation course? *

Have you completed an FTSI Advanced course? *

Do you consent to receiving FTSI email updates? *

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

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 run facial palsy courses yourself?

Can we share your information with third parties? *