Submit Your Profile

All fields marked with * are required. Your profile will appear exactly as submitted in the directory. Please ensure all information is accurate and up to date.

Personal Details

First Name *

Last Name *

Title (optional)

Email Address *

Profile Photo (optional — recommended)

📷 Upload a professional headshot

JPG or PNG · Max 5MB · Square crop recommended

Practice Details

Practice / Clinic Name *

Full Address *

Phone Number (optional)

Website (optional)

Qualifications & Accreditations

Practitioner Category *

Your Qualifications & Accreditations *

Registration Body (optional)

Your Profile Bio

Short Bio * (max 200 words)

Collaboration Preferences

Open to Practitioner Collaboration

I am open to collaborating with other practitioners Tick this if you are open to working with GPs, specialists or other healthcare professionals on shared patient care. A green "Open to Collaboration" badge will appear on your profile.

Collaboration Details (optional)

Consent & Declaration

I confirm that all information submitted is accurate and that I hold the qualifications and registrations stated. I consent to my details being published in the Functional Medicine Insight Practitioner Directory in accordance with the Privacy Policy. I understand my listing is included as part of my active membership and will be removed if my membership lapses. *

Your profile will be reviewed by our team and published within 2 working days. You will receive a confirmation email when it goes live.

✅ Profile Submitted Successfully!

Thank you — your profile has been received and will be reviewed by our team. You will receive a confirmation email within 2 working days once your listing is live in the directory. If you have any questions please contact gina@functionalmedicineinsight.com

Your Practitioner Profile

✅ Profile Submitted Successfully!