Please sign the form below and submit it with your membership form and keep a copy for yourself.

Code of Ethics and Conduct for the Practice of Therapeutic TouchÔ

When giving a Therapeutic Touch session, I agree to abide by the following:

1.  I will conduct my practice of Therapeutic Touch (TT) in accordance with the generally accepted principles of TT as developed by Dolores Krieger, PhD., RN and Dora Kunz and the Guidelines of The British Columbia Therapeutic Touch Network (BCTTN).

2. In any Therapeutic Touch session, I will maintain the highest integrity, keeping the interest of the client foremost, and I will conduct all sessions in a manner that upholds the reputation held by TT throughout the world.

3. I acknowledge that TT may increase the rapport between the client and myself; therefore I will keep all information in the strictest confidence. I will ensure that all interpersonal transactions between the client and myself are non exploitive and essential to their care.  I will focus on the needs of the client and refrain from discussing any problems or personal issues.

4. I will regularly evaluate my strengths, limitations and levels of effectiveness, always striving to enhance my abilities by means of further education, practice and training in Therapeutic Touch.

5. I will be clear in the use of Therapeutic Touch with clients and use only those adjunctive therapies/skills for which I am trained and qualified and have the client's permission.

6. I will focus on Therapeutic Touch and not use other energy modalities in the same session unless I have informed consent and explicit permission of the client to do so.

7. I will not hold BCTTN responsible for any consequences resulting from my practice of Therapeutic Touch.

For experienced TT practitioners who may choose to charge a fee for TT sessions.

8.    I will make clear to the client, in advance, any fees I change for my service.

Print Name: ____________________________________________________________

Phone:__________  Fax ____________________  E-mail _______________________

Address:      ____________________________________________________________

Signature:        ____________________________________Date:__________________

Ratified  April 2004

BCTTN ANNUAL MEMBERSHIP RENEWAL

May 1 – April 30

Only Date, Name, Membership No. & new information is required. 

DATE:

MEMBERSHIP NO:

Name:
Address:
Email:

Home Phone:

Work or Cell:

Do you belong to a TT PRACTICE GROUP (Yes/No)?        

If Yes, LOCATION:_____________________________________________________________                                      FACILITATOR:   ________________________________________________________

Are you a qualified TT RECOGNIZED PRACTITIONER (TTRP)?

Year:

Other qualifications DEGREES / LICENCES:

THERAPEUTIC TOUCH STUDIES (Krieger-Kunz method) taken in the past year.

DATE	COURSE	HOURS	INSTRUCTOR/LOCATION

I am Interested in VOLUNTEERING (check applicable):                               

Special Events	PR	Education	Practice Group	Regional Rep	Other
Comments:

For BCTTN members with Level 3 or above or TT Recognised Pracitioner (TTRP):

I would give TT sessions through BCTTN referral services at these locations:

Client’s home	My home	My treatment place	Hospital/Facility
Hospital/Facility Name:

I give my permission to share my name/address with TT network members (Y/N): 

Amount Enclosed:  $

Receipt (y/n)?

Signature:

Membership Dues:  Member - $40   TT Recognised Practitioner (TTRP) - $50  

TT Recognised Teacher (TTRT) - $60 (contact Education chair for details)

Full time Students & Retirees 60+   may take a $10 deduction from fee.

Mail 1) cheque payable to BCTTN,   2) completed registration form, and 3) signed code of ethics to the

Membership Coordinator:  Alex Jamieson     146 West 45^th Avenue,   Vancouver,   BC   V5Y 2W1

Email:  BCTTNmembership@yahoo.ca

TO COMPLETE AND RETURN THE ABOVE FORMS GO TO TOP RIGHT OF SCREEN AND CLICK ON "PAGE" AND  OPEN "EDIT WITH MICROSOFT WORD".  COMPLETE FORM, PRINT AND MAIL TO ADDRESS PROVIDED AT BOTTOM OF FORM.