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ICANT,"...but with God, all things are possible." Matt.19;26
Schedule 1 Association
Application for Full Membership
Please complete the following and return the form the address at the foot of the page, together with the required documents.
DETAILS
Surname ______________________________________________
Given Names __________________________________________
Address:______________________________________________
_____________________________________________________
Date:________________________
Telephone: (___)________________ Mob:___________________
Business Name:________________________________________
Address:______________________________________________
_____________________________________________________
Telephone: (___)_______________________________________
Date of Birth: ___/___/______ Place of Birth ________________
A) Specify what you are/will be practicing_____________________
_____________________________________________________
B) If already practicing, state time (in months) of each modality.
____________________________________________________
Please state whether full or part time. _____________________
Please state primary source of income_____________________
C) Date of commencing practice__________________________ D) Please state the average number of hours involved in your
practice per week____________________________________
E) Please state the modalities currently used in your practice
____________________________________________________
____________________________________________________
F) Please state the Methods of diagnosing__________________
____________________________________________________
____________________________________________________
G) Please enclose photographs of the
outside of your premises, the waiting room/s,
the consultation room/s, the treatment room/s
and any other rooms or facilities which you
will/are using in your practice (if applicable). A
professional standard is expected.
H) Please state your secondary and tertiary
educational qualifications ______________________
___________________________________________
I) Please list other Associations/Bodies of which you
are a member, or have been a member. __________
___________________________________________
.___________________________________________
J) Have you ever been refused entry to any
Association/other body? If yes, attach written details:
___________________________________________
K) Have you ever been disciplined by an Association/Body?
If yes, attach written details:
___________________________________________
L) Declaration:-
I___________________________________________
do solemnly declare that the information contained in
this form to be true and correct, by virtue of the
"Oaths Act 1900 - 1935", and I do confirm that the
accreditation fee is not refundable, and I agree to
abide by the decision of the executive committee in
regard to the acceptance of this application, and I
agree to abide by the rules, regulations, and Code of
Practice.
___________________________________________
Applicant's Signature]
Before me______________________ [J.P. signature]
at_________________________________________
Date___/___/_____
Please attach the following:-
1/ Certified copies of your qualifications containing:-
a) Name of educational institution.
b) Address of Educational Institute.
c) The total number of hours completed
d) Any other subjects studied currently or previous
& the total number of hours completed
2/ Two current passport photographs of yourself.
3/ Photographs of your clinic (see G) overleaf)
3/ Cheque or Money Order payable to ICANT Inc.
Registered Office: Send correspondence to : P O Box 55 Kuttabul Qld 4741 Australia
Ph: 0749540285 email: icantinc@gmail.com Web site: www.icant.org.au ABN 66 573 324 585
THE INFORMATION FOLLOWING IS ONLY FOR
THOSE INTERESTED IN FULL MEMBERSHIP.
FEES
Practitioner Medical practitioner; Naturopath; Phytotherapist;
Natural therapist; Nutritionist; Hydrotherapist):-
Annual fee of $100.00 plus an initial, non-refundable accreditation
fee of $50.00
Massage/ Remedial Therapist:-
Annual fee of $50.00 plus an initial, non-refundable accreditation
fee of $50.00
Student / Associate:- Please use correct form
Annual fee of $25.00 (no accreditation fee required)
PAYMENT:-
Can be made by the following methods
Cheque/ Money order
Made payable to I.C.A.N.T. Inc.
Credit Card
: __Visa. ___MasterCard Exp Date: ___/___
Card Number: ______/______/______/______. CCV ________
Card Name: ___________________________________________
Amount:____________. Signature _________________________
Accreditation Requirements
SUBJECT
Each hour of study is equal to one accreditation point.
Basic Sciences
Anatomy and Physiology, Biochemistry; Chemistry,
Nutrition:
Other modalities:- Phytotherapy; Hydrotherapy;
Clinical Diagnosing Urine & Saliva Analysis; Reflexology;Microscopy;
Symptomatology; Iris diagnosis; Sclera diagnosis, Nail,
Tongue analysis; Haemaview ;Blood screening - Live blood analysis
Blood screening - HLB – CRT; Other diagnosing [state]
MassageOther body work
PracticumExperience full time [documented];
Jurisprudence, Business management; Counseling; 1st Aid;
Clinical Practicum; Clinical Experience
part time [documented]
Private Study Full courses
e.g. Herbal medicine, Nutrition, inc. Sciences
- Please attach full details
Biochemistry, Nutrition Herbalism, Diagnosing and Prescribing.
All details must be documented.
Assessed according to content
Total minimum required:-
Massage Therapist 200 points
Remedial Massage Therapist 280 points
Remedial Therapist 500 points
Natural Therapist 1000 points
Naturopath 2000 points
NB Applicants for Naturopathy level must have
documented qualifications in all naturopathic
modalities
For TGA Exemption Certificate:
A total of 1000 points in the following: - Basic Sciences,
Biochemistry, Nutrition, Herbalism, Diagnosing and
Prescribing.
All details must be documented.
Documentation means:-
A certified copy of all your certificate/s must state that it
is a true copy of the original and be signed by a Justice
of the Peace.
W H Y J O I N I C A N T ?
Advantages and requirements of ICANT depend on the
level of membership. Full membership gives full voting
rights at Annual General Meetings.
All levels receive the quarterly journal keeping you up
to date with natural therapies issues, research and
details of upcoming seminars at no extra cost.
Seminars are a major vehicle for keeping abreast of
new developments in the industry, increasing and
consolidating skills and knowledge and supporting and
aiding each other. They are of immense value to
students, practitioners, and everyone interested in
natural therapies. They an also contribute towards the
Practitioners required Continuing Professional
Education points.
TGA EXEMPTION
Natural (inc. nutritional) Therapist, Nutrition &
Dietetics and Naturopath levels are entitled to a TGA
Exemption Certificate. This enables you to purchase
Practitioner only products from suppliers, attend
Practitioner only seminars and receive research and
other information restricted to Practitioners only. You will be supplied with a TGA exemption certificate
on acceptance of you application. Suppliers of
Practitioner Only products will require you to send
them a copy when you open account. They will
require an updated copy every year you hold an
account.
ACCREDITATION
Accreditation enables a member to legally practice in a
specific area e.g. Nutrition, Massage, Naturopathy, as
well as automatic provider status to some health funds.
Provider status enables member’s accreditation. It
gives credibility to a practice and increases patient
confidence and compliance. You will be sent a
certificate on acceptance of you application, and
each and every year when you pay you fees. This
certificate must be displayed in a prominent place
in your clinic.
NB: All of the above subjects are required with the approved
number of points for accreditation as Naturopath.
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