Update Your Member Information

First Name

Last Name

You must include an email address here in order to process this profile update request. This email address will NOT be included in your online profile. If you wish to display a contact email address on your profile, be sure to add something in the "Contact Email" field below.

Select your membership status

Clinical Member

Associate Clinical Member

Affiliate

Alumni

Update the following fields with your information as you would like it to appear on your Member Profile on the website.

For clarity, please add, change or remove just those lines you’d like to edit. For example, if you’re no longer seeing clients, you might write: “Remove: Monday through Friday, 9:00 to 4:00pm.
If any fields do not apply, please leave them blank.

Profession

Are you currently accepting clients?

Yes

How do you offer services? (select all that apply)

Online

In Person

Telephone

Text/Email

BIO

Clients I Work With

Services I Offer

Languages

Name of Practice

Your Website

Phone/Mobile Number

Contact Email (For your online profile)

Area I Practice In (online? Kanto? Your ward? City?)

Address of Practice

Address Line 1

Address Line 2

City

Prefecture

Postal Code

Country

Cost of Services

Licensure and Registration

Hours

Degree (please write the full name of any degree you want listed: e.g. Master of Counselling (MC))

Notes

Additional Education

Your Profile Photo

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IMHPJ is a voluntary professional organization. As such, individual members are responsible for their own actions. For more information, please see our Ethics Code.