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Become an EMP Maternal Healthcare Ambassador

Please share a few details about your qualifications, clinic and experience to be included as an EMP Maternal Healthcare Ambassador

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Question 1 of 9

Would you like to become an EMP Maternal Health Care Ambassador? Benefits include:


- Free EMP Membership for your clinic.

 

- Discounts for your patients.

 

- 10% Referral Bonus

 

- Listing on the EMP 'Find a Physio' Page

 

- Quarterly Research Updates

 

A

Yes

B

No

Question 2 of 9

If yes, please enter your email address for EMP Clinic Membership Access.

 

Please Note:
This is a one-month free membership for you to become familiar with the program. The App has a free 'look-around' feature which you can use to show your patients the depth of content.

Question 3 of 9

Would you like to Opt-In to our Referral Bonus Program? This entitles you to an ongoing 10% commission from all active memberships you refer to the EMP. This can be paid directly to you or can be accrued as credit for a free membership that you can gift to someone deserving in your community. 

A

Yes

B

No thanks

Question 4 of 9

Would you like your practice to be featured on our Find a Physio Page?

A

Yes

B

No thanks

Question 5 of 9

If yes, please list your clinic name and location (or Service Areas)

Question 6 of 9

Treatment Areas

(Select all that apply)
A

Urinary Incontinence

B

Musculoskeletal

C

Bowel Dysfunction

D

Prolapse Support

E

Pessary Fitting

F

Prenatal Classes

G

Mum and Bub Classes

H

Sexual Dysfunction

Question 7 of 9

Please share a summary of your qualifications and experience

Question 8 of 9

Please include the best link to your business or services

Question 9 of 9

We would love to offer your patients 10% off per month for the life of their membership.  Please enter the discount code you would like to use for your patients. For example, CLINICNAME10.

Confirm and Submit