Names of Exempt Reference number or Treatments provided by exempt therapists (if any) date of exemption letter therapist/s Names of new therapists Application form, Treatments to be provided by exempt applying for exemption evidence of membership therapist/s (if any) and fee enclosed? State Yes or No
Names of Exempt therapists (if any) Reference number or date of exemption letter Treatments provided by exempt therapist/s Names of new therapists applying for exemption (if any) Application form, evidence of membership and fee enclosed? State Yes or No Treatments to be provided by exempt therapist/s
mst_licence_new_application_2018-19.docx