Technical issues due to Loadshedding

Please use the 060 961 7882 if you cannot get through on the landline due to load shedding.

Register as a Psychologist

The Couch 

 Physical Address: 40 River Road
Rivonia
2191
Office Phone Number: 011 234 0741
Mobile Phone Number: 071 682 7107
Web: www.thepsychologycouch.com
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

All details are Strictly Confidential

Your Name(*)
Please let us know your name.

Your First Names

Your Surname(*)
Please let us know your Surname

Your Surname

Psychologist(*)
Invalid Input

Areas of Speciality(*)
Invalid Input

Select your Areas of Speciality

HPCSA-number(*)
Invalid Input

BHF Number(*)
Invalid Input

Your Email(*)
Please let us know your email address.

Your Email Address This will also be used to register you on our website.

Home Number(*)
Please Let us Know your Home Phone Number.

Home Telephone Number

Work Number(*)
Please Let us Know your Work Phone Number.

Work Telephone Number

Cel Number(*)
Please Let us Know your Cel Phone Number.

Cel Phone Number

Upload Supporting Documents(*)
Invalid Input

Your updated CV, Professional Indemnity Insurance Certificate, Masters Certificate, Certified ID, HPCSA Registration. A photo of yourself (high definition),Description of Your profile. Proof of Banking Details.

Username(*)
Please provide an username!

Verify E-mail(*)
Retype the e-mail!

Password(*)
Please enter a password!

Enter a Passsword Must have at least 1 Capital letter, 1 Number, 1 Symbol and be 8 Charters or more long

Verify Password(*)
Retype the password!

By Ticking this Box(*)
Please tick the box to accept and submit form.

I Accept and declare that I have understood and agree to this contract.

Invalid Input

Head Office

37 Homestead Road,
Corner 12th Avenue
Block F, Homestead Park
Rivonia, Sandton
060 961 7882
Tel: (011) 234 0741

The Couch
Online consultations are now available

Please note that if you are unable to contact us on 011 234 0741 due to the Load shedding, kindly contact us on 060 961 7882