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We have received your registration and it is pending approval. The pacifyr team will contact you as soon as your account has been approved. For any issues please contact support@pacifyr.com

Register with us

* required field
Profile photo *
Adding a professional photo enhances your profile and boosts chances of getting more customers
Please upload profile photo
Personal information *
Name
Email
Phone number
Date of birth
Bio
Provide a brief write-up about your work. This boosts the chances of more customers reaching out to you.
Languages Known
Education *
Highest educational qualification achieved
Degree/diploma or any other highest qualification achieved
Name of educational institution
Location
Time period
to
Currently pursuing
Check the box if currently pursuing the education.
+ Upload document
Upload relevant educational certificate. If currently pursuing, upload student ID.
Supported Formats: doc,docx,pdf,rtf,jpg,png
+ Add Education
Click to add information about additional qualifications
Partner Organization
Select the partner organization of pacifyr if you are affiliated to one or select Independent if you are not a member
opt in for EAP?
  • Check this box if you want to receive consultation requests from employees who are enrolled in the Employee Assistance Program.
  • EAP refers to Employee Assistance Program. By enrolling in it, corporate clients can avail of counseling services for their employees through us.
  • By opting for EAP, you get instant access to a larger customer base, namely the employees of the corporate client. This helps build your brand better.
Are you licensed ? *
If your profession requires a license to practise, please click yes.
State you are practising
Select All States or the particular state where you are practising.
License
State you are licensed to practice
Select All States or the particular state where you are licensed to practice in.
+ Upload document
Upload relevant certificate
Supported Formats: doc,docx,pdf,rtf,jpg,png
Are you certified ? *
Certification
Institution or Organization
Add information on certificates from professional organization if any.
Location
Year
+ Upload document
Upload relevant certificate
Supported Formats: doc,docx,pdf,rtf,jpg,png
+ Add Certification
Click to add information about additional certifications
Are you insured ? *
Insurance
Title
Type in information about your Indemnity Insurance
+ Upload insurance document
Supported Formats: doc,docx,pdf,rtf,jpg,png
Fee (per Hour) *
Enter the fee that you currently charge per session
Specialities *
Select your specialty or specialties from the list
Additional Documents or Training certificates
Upload
  • Any other relevant documents like awards, training certificates and citations.
  • If you are an expert providing services (like Yoga Trainer or Reiki Coach) with no degrees or certifications/licenses to show but are affiliated to some association, upload the relevant documents of the same along with your Driver’s License.
Supported Formats: doc,docx,pdf,rtf Max file size: 3 MB
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