Form

Once you submit this form, we will be in touch to continue with your onboarding, give you access to our powerful Kara Connect Workstation that you can use for your own practice and also under use under our Wellbeing Hubs programme.

First name*

Last name*

Mobile phone number*

Phone number

What is the discounted price you would charge us (Kara Connect) for your sessions?*

Please enter the hourly rate (for a 50-60 minute session) that you would charge Kara Connect for our customers. Just provide the number without the currency symbol. If your rate exceeds our benchmark, our team will reach out to you for further instructions.

Currency of your service prices*

Please select the currency of your service prices.

Country*

Country where you deliver your sessions from. (Where you live)

How long are your sessions in minutes?*

Please just add the Number "In minutes". For example 60 ("minutes")

Services Offering (Onsite / Remote)*

Please select the type of services you offer to clients (Online, In place or Both)

Your Years of Experience*

How many years of experience you have practicing your profession?

How many times per year do you have a consultation session with an approved supervisor?*

There are some professions that require supervision. If your profession does not require supervision, please select "not applicable."

Please select the information you can provide as part of your registration.*

Please select at least one option below.

Accreditations

Insurance

Member of a Professional Body Certificate

Directorate of Health Iceland (Only applicable to Icelandic Professionals)

Please upload a copy of your Accreditations.

You can upload multiple documents just make sure you select them all in the screen that will be open for you, before uploading them.

Please upload a copy of your Professional Liability/ Indemnity Insurance

You can upload multiple documents just make sure you select them all in the screen that will be open for you, before uploading them.

Please upload a copy of your Professional Body Certificate Membership

You can upload multiple documents just make sure you select them all in the screen that will be open for you, before uploading them.

Please upload a copy of your Directorate of Health in Iceland Certification / Application. (If required in your profession)

You can upload multiple documents just make sure you select them all in the screen that will be open for you, before uploading them. (If required in your profession)

If you have any comments or questions please add them here

I would like to be able to offer my services on a wellbeing hub / marketplace through Kara Connect and I agree to Kara Connect Terms and conditions.*

By ticking this box, you affirm that you have read, comprehended, and agree to comply with the content of our Professional Standards and Guidelines of Practice for Wellbeing Hubs.*

Thank you for your interest in joining our Wellbeing Hubs Programme