Healing Touch Program is sponsoring an Annual Certified Healing Touch Practitioners Directory that was published in June 2007 by Energy Magazine™. This is provided as a free service to all Certified Healing Touch Practitioners. Its purpose is to promote networking and provide a place where clients can seek a qualified practitioner in their area to receive Healing Touch.

In order to accommodate the recent request from individuals who have decided to be listed in The Healing Touch Program CHTP Directory we continued to take submissions to be posted until August 1, 2007. An updated version of the HTP CHTP Directory will be published around August 15, 2007. At this time we are no longer accepting submissions for the August 2007 publication. However, if you would like to have your name added to the next issue (June 2008) please fill out the form below.

To protect your privacy, you must authorize your listing. To do this, please fill out this form and send it to our office by mail, electronically with the submit button below or by fax at (303) 985-9702. Healing Touch Program will also be creating an on-line directory for practitioners on our web site. Please check the boxes below to give permission to publish your information.

Healing Touch Program™ Practitioner Listing Authorization Form
Fill out this form to have your name added to the next issue (June 2008)
All fields marked with a * are required.
	Permission to Post to Energy Magazine™	Check this box to give HTP permission to post your information in the Practitioner Directory to be published in June 2008.
	Permission to Post to HTP Website	Check this box to give HTP permission to post your information in the Practitioner Directory on the HTP Website. COMING SOON!
	Name	* Fill in the name you want to be listed under.
	Credentials	* Fill in your credentials. CHTP is required.
	Street Address	Fill in your street address if desired - not required.
	City	* Fill in your city - required.
	State	* Fill in your state - required.
	Country	* Fill in your country - required.
	Postal Code	* Fill in your postal code - required.
	Phone	* Fill in your phone number you want to be contacted by - required.
	E Mail	Fill in your e-mail address - not required.
	Website URL	Fill a personal website related to your HT practice - not required. Subject to approval.
	Description of Practice	Fill a description of your practice. Limited to 25 words and subject to approval - not required.
	E Signature	*Check this box for a electronic signature. By checking this box, I acknowledge full responsibility for the publication of this information in Energy Magazine Practitioner Directory and on the Healing Touch Program website and release Healing Touch Program from any liability that may result from this listing.
	Certification Date	* Fill in the date you were certified - required.