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ECMT 2023
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Step
1
of
4
Account information
Username
*
Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.
E-mail address
*
A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.
Are you a member of Axxon
*
Yes
No
I want to become a member of ABSG MATHERA.be
*
No
Yes
No just tick if you only want a digital IFOMPT certificate.
Type of membership
*
Manual Therapist (for now) without BB MT Manual Therapist (for now) without BB MT Manual Therapist (for now) without BB MT
Manual Therapist with recognition BB MT, independently
Manual Therapist with recognition BB MT, wage earner
Manual Therapist with recognition BB MT, partly self-employed and partly wage-earner
Manual Therapist with recognition BB MT, with a relative in the same practice
Manual Therapist, retired
Starting physiotherapist enrolled in a recognized course in Manual Therapy according to MB 22/04/2014
(IMPORTANT you must have or have applied for a Special Medical Competence for Manual Therapy (BB MT) or you are a student of a recognized Belgian manual therapy course)
I want to get an IFOMPT recognition
*
Yes
No
Diploma/getuigschrift manuele therapie voor IFOMPT erkenning
Files must be less than
64 MB
.
Allowed file types:
pdf
.
1
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4
Step
2
of
4
Personal information
Title
*
- Select a value -
Miss
Mister
MD
Name
*
Family name
*
Date of birth
Date
Format: 05-06-2023
Mobile phone
VAT number
RIZIV / INAMI-nummer
*
compleet RIZIV number (1-23456-78-910)
Please check below what applies to you:
*
I am currently still a student in a Manual Therapy program recognized by law
I have a recognition decision Special Professional Competence Manual Therapy
I have submitted an application for recognition of Special Professional Competence for Manual Therapy
I have obtained my diploma / certificate from a ManaMa / Postgraduate MT and I am currently working on a year of work experience in the field of manual therapy, after which I have applied for my recognition Special Professional Competence for Manual Therapy
I do not have a recognition of Special Professional Competence for Manual Therapy and do not apply for it.
Reden
Op datum
Date
Format: 05/06/2023
Aangevraagd op
Date
Format: 05/06/2023
Private address
Find Address on Map
Location name
e.g. a place of business, venue, meeting point
Street
*
City
*
Postal code
*
Country
*
Select
NOT LISTED
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R., China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao S.A.R., China
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
North Korea
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
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4
Step
3
of
4
Statistical information
Via welk kanaal werd u geïnformeerd over MATHERA.be?
*
- Select -
Via de opleiding manuele therapie
Via verzekeraar AMMA
Via AMONIS
Via AXXON PTiB
Andere
At which institution/university did you study manual therapy ?
When did you become Master / Graduate in Manual Therapy ?
Certificates
Student MT:
basic diploma of physiotherapist + certificate of registration for recognized training MT upload.
Graduated as MT:
upload your Special Professional Competence for Manual Therapy from the Flemish Agency for Healthcare & Health (if you do not have this: basic diploma physiotherapist + diploma / certificate of your ManaMa / Postgraduate MT)
Add a new file
Files must be less than
5 MB
.
Allowed file types:
pdf
.
Heeft u beroepsaansprakelijkheids verzekering? Zo ja Welke?
*
Are you interested in the benifits of AMMA ? Do you want someone of AMMA to contact you ?
*
Yes
Not yet
Are you interested in the benifits of AMONIS ? Can someone of AMONIS contact you ?
*
Yes
Not yet
Did you create a Pro-Q-Kine or PE-online account ?
*
Yes
No
Can students Manual Therapy do an internship with you?
*
Yes
No
Only applicable if you have a special Professional competence Manual therapy and / or have an IFOMPT recognition.
3
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4
Step
4
of
4
Cabinet Information
Practice
Order
Location of cabinet
Adres
Order
Erase this cabinet location
Address
Location name
e.g. a place of business, venue, meeting point
Street
Additional
City
Postal code
Country
Select
NOT LISTED
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R., China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao S.A.R., China
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
North Korea
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Find Address on Map
Phone number
Fax number
Weight for row 1
0
Practical data (these will only be visible on the website or can be found under 'Search Manual Therapist' if you have a Special Professional Competence in Manual Therapy!)
Website
Title
The link title is limited to 128 characters maximum.
URL
E-mail
Weight for row 1
0
Here it is possible to
For each practice 1 or more addresses (practice address) to give with per location own consultation hours. 1 website per practice.
in the case of multiple practices vb independent practice and employed as an employee or member of several group practices with own consultation hours per location. 1 website per practice
GDPR
*
Ik ga akkoord met de
algemene voorwaarden
en geef MATHERA de toestemming om alle gegevens van mijn online ledenaccount te beheren volgens de Europese Global Data Protection Regulation (GDPR).
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