Join - CHAI

Membership in our forum is free and available to veterinarians and veterinary students at accredited universities.

Information on this form is used only to verify your identity and to list your clinic in our directory if you so choose.

Not all fields are required; you may complete only those questions that will best allow us to confirm your identity and credentials.

(Please note, however, that without sufficient information we will not be able to approve your application.)

By submitting this application, you agree to abide by our community guidelines.

About You

First Name *

Last Name *

Email Address *No group, staff, or school emails; use an address that is unique to you.

City

State/Province *

Country *

Are you currently practicing integrative medicine? *YesNo

Please tell us a bit about your practice. *

Please tell us about your interest in holistic medicine. *

EducationForum membership is limited to veterinarians and veterinary students at accredited universities only.

Veterinary School *

Degree *

Graduation Year *

Credentials

Upload a photo of your license, diploma, or student ID

File will be deleted immediately after application is processed.

License Number

Location (state/province/country)

Other Qualifications

Additional Information

Do your participate in any veterinary Facebook groups?Yes

Please list which Facebook groups

Your name on Facebook

LinkedIn Profile

Use this space to enter any additional information

Check to add your clinic to our directory.Yes, please!Must offer complementary, holistic, alternative, or integrative medicine.

Clinic Information

Clinic Name *

Street Address

City *

State/Province *

ZIP / Postal Code

Country *

Phone

Website