Members Only

NL Physiotherapy Association:

Website Membership Listing Opt-In

If you'd like to be featured on our website's "Find a Physiotherapist" database, please fill out this form.

Be sure to include all important information (including clinic address and phone number) so that potential patients can find you!

Member Information

Physiotherapist's Name:

Clinic Information

Primary Clinic Name:

Primary Clinic Address:

Clinic Phone Number

Clinic Website:

Do you work from a secondary clinic? If you would like to add information for a second clinic location, please do so below. Both will be added to your website profile. Otherwise, please click SUBMIT below to finish your submission.

Secondary Clinic [if applicable]

Secondary Clinic Name:

Secondary Clinic Address:

Secondary Clinic Phone Number

Secondary Clinic Website: