Mithrah Therapist Registration

All therapists are required to provide consent to Therapist Service Contract Agreement, Terms and Conditions, Privacy and Policy and Disclaimer published on this site.  Professional obligations including duty of care towards clients and the public are to be followed strictly. If you have any concerns, please do not proceed with the payment but contact us for further clarification.

If you agree to our Therapist Service Contract Agreement, please fill out the registration form to join our team. After registering with us, you have to attend a zoom meeting to learn about how to use our website and other information regarding the service you can provide on this platform. One of our team members will help you with it.

Important: We use the same registration procedures for Australian and International therapists. So kindly pay attention when filling out the forms. We can recommend practice management software tools that suit your requirements. We may also work with your existing practice management software tools. So please contact us if you are using any practice software tools that you may want to integrate with your profile.

Please email on admin@mithrah.com if you experience any difficulty in making online payment. 

Alternatively, you can use  PayID. It is a fast and secure way to send and receive payments using a mobile number, email address or ABN, all within the security of your online banking.

Our PayID : payment@mithrah.com

PrefixMr.Mrs.Ms.Mx.MissDr.Prof.

First Name

Last NameEnter Surname or Last name as mentioned in your passport and professional documents.

Email *E.g. john@doe.com. Valid email is a must to join and receive invoices from us.

Street Address *Enter door number and street address.

Suburb or second line of address. *Write N/A if not applicable or necessary.

City *Enter City

State/Province *Enter State or Provicne.

ZIP / Postal Code *Enter Post Code or Zip.

Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabwe

PhonePlease enter your best contact number with country and area code.

Languages SpokenUse a comma to separate if you enter more than one language. E.g. English, Tamil, German, Italy, Mandarin

Religious Communities you can serveYou can leave it blank if you are not particular about it. Use a comma to separate such as Hindu, Islam, Sikh, Christian, Jain, Sri Vaishnav, Shivite, Sanatana dharma, etc.

Select Your Profession

General Practitioner (Telehealth freindly; registered by AHPRA or Local Regulatoy body or associations of their respective countries)Psychiatrist (registered by AHPRA or Local Regulatoy body or associations of their respective countries)Psychologist ((registered by AHPRA or Local Regulatoy body or associations of their respective countries)Mental Health Nurse ((registered by AHPRA or Local Regulatoy body or associations of their respective countries)Medicare Social Worker (registered by AASW or Local Regulatoy body or associations of their respective countries))Psychotherapist (Relevant Australian or International Professional body)Psychoanalyst (Relevant Australian or International Professional body)Counsellor (Relevant Australian or International Professional body)Mental Health Community Worker ((Relevant Australian or International Professional body)

Select your profession. You may choose more than one. However, you need to provide valid qualifications and professional registration details.

Other ProfessionMention other profession here if you don't find your profession in the above list. Please provide relevant regulatory and membership registration details.

Brief Professional ProfileProfile

All Relevant Professional QualificationsEnter all relevant qualifications separated by a comma.

Professional registration number(s)Use comma to separate more than one registration number

Standard consultation fees you wish to charge for your clientsEnter in AUD$

Private and Public Funding Details (For Therapists Practising in Australia Only)

I have Medicare Provider NumberI have NDIS Provider NumberI have private Insurance provider number(s)We do not process your private insurance and private rebates. These details are captured to let the clients have informed choices. You need to process or help your clients process private and public rebates.

Private Insurance Provider DetailsIf your service is covered by private insurance , list the names of private insurance you are registered with. Enter details only if applicable and you are in Australia. Otherwise, leave it blank.

Country-based Community ExpertiseEnter the diaspora you can serve. E.g., Indian, Sri Lankan, Asian, Afghan, Japanese, Chinese, Palestine, Russian, French and Italian.

Religious and Spiritual InterestYou can mention the religious or spiritual diaspora you have more experience with. Please note that it does not have to be your religion or identity. It only highlights if you know these cultural elements to provide better care. This information will not be revealed in your profile unless you need them.

NationalityPlease enter your nationality as per your passport or citizenship certificate.

Work Permit DetailsAre you legally allowed to work in the country you practice? Please provide the relevant details.

Are you work-ready?Please note that some professionals from some countries such as Australia are expected to have working with Children Check Number, Police Clearance, first aid certification, professional registrations with respective regulatory bodies and professional associations, annual CPD certifications and similar details. Type yes if you meet your professional requirements according to the respective national legal requirements and professional obligations.

Upload attested copy of relevant professional qualifications, registration or license documents, and other relevant documents.

Drag and Drop (or) Choose Files

Please get your professional documents attested by a JP or a gazetted officers of your country. The scanned documents should be in high quality and should be close to your originals. Please include all pages of your documents.

Upload Your CV

Choose FileNo file chosenDelete uploaded file

Upload Working With Children Check document and First Aid Certificate for the practising year

Drag and Drop (or) Choose Files

Please note that the documents must be valid for the current professional practising year.

Upload copy of professional indemnity and professional liability isurance currencies.

Choose FileNo file chosenDelete uploaded file

Please note that the documents must be valid for the current professional practising year.

Consent *

Yes, I agree with the Therapist  Contract Agreement, internet privacy policy,  terms and conditions and Therapeutic Contract and Consent Details for Clients.

I understand that it will be considered as an equivalent of my signature when I agree to this consent. I also agree to take the screenshots of the respective consent pages, registration form details and invoice/bill details issued by the website, and store them in my system for future reference. 

Credit / Debit Card *

All transaction will be in AUD.

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