Specialist Registry & Practice Onboarding

Therapist & Practitioner Registration Form

Fill out this application to be included in the center registry, match client requests, and activate your personal IDA Kit desktop terminal.

1. Full Name (FIO) *

Phone / Messenger *

Email Address *

13. Additional Contacts & Location *

City, website URL, social media profiles, or preferred messaging platforms.

2. Professional Profile *

Brief summary of your professional role (e.g. "Licensed Clinical Psychologist, Fairytale Therapist, Family Counselor")

3. Education & Degrees *

Higher academic degrees + additional training in psychology (qualification courses, seminars, workshops)

4. Specialization *

Core therapeutic modalities (Fairytale therapy, CBT, Sandplay, Emotion-Image therapy, etc.)

5. Key Competencies *

Your key strengths and practical counseling skills

11. Psychological Practice Experience *

Years of experience and background details (official employment, private practice, volunteering, etc.)

12. Supervision Experience *

Number of hours and format (private, group, academic). Enter dash (-) if none.

10. Client Topics & Requests *

Target areas you work with (childhood anxiety, school adaptation, family conflicts, self-esteem)

6. Professional Activity & Associations

Memberships in professional associations, conferences, and organizing events

7. Author Programs

Proprietary therapeutic courses, workshops, metaphorical cards, or methodology manuals

8. Expert Activity

Media commentaries, parent webinars, expert council participation

9. Publications

Books, fairytale collections, scientific and methodological articles

14. Awards & Diplomas

Letters of appreciation, contest awards, professional recognitions

Target Client Age Group

Practice Format

I consent to the processing of my personal data for registration in the center directory in compliance with GDPR / Privacy standards. *

Your registration details have been saved. The practice director will receive a notification in the IDA Kit dashboard to approve your accreditation.