The International College of Holistic Medicine

Application for Training Provider Form

Training Provider application to join The International College of Holistic Medicine (ICHM)

Prior to your application please supply at least three complete lessons, one question paper
and the final exam paper (in PDF format), from the course that you wish to be approved.

Our Fees:

Quotation will be provided, prior to Accreditation, on receipt of the details above.

Please complete the details on the form below, Copy and paste into the body of an email
and send to the email address listed.

Accreditation Application Email: info@intchm.net

Your Title (Mr. / Mrs. / Miss / Ms. / Dr. etc.):
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Your Name:
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Address (line 1):
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Address (line 2):
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Town or City:
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County, Province or State:
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Country:
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Post Code or Zip Code:
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Telephone number:
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Fax Number::
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E~mail Address:

Course Details

Name of course writer:

Relevant Qualifications Held?

Course Title?

Number of Lessons?

Examining Procedures?

Outcome of course?

First Marketed?

Practitioner Level?
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Subject Insurable?
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COMMENTS & ADDITIONAL INFORMATION: PLEASE OUTLINE THE TOPICS COVERED IN THE COURSE

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