AQTN's Online Application Process

Once you submit this form, you will receive an email confirmation.
Your membership payment can then be made by Credit Card, Cheque, e-Interac or Paypal.

Memberships are valid for one year.

We communicate news and information by email.

A renewal notice will be sent one month in advance.

If your application is refused, any fees paid will be reversed or cancelled. Accepted applications are non-refundable.

First Name:

Last Name:

Date of Birth: (YYYY-MM-DD)

Male Female

Language(s) Spoken:

Correspondance address
This is where will mail your welcoming kit and receipts.



Postal Code:



Phone number to appear on your receipts:

Other telephone: (leave blank if none)

Facebook profile: (leave blank if none)


Website: (leave blank if none)

Your website, blog, Linked In account, etc. - an online presence.

Are you currently, or have you ever been an active member of any other association?
Yes No |
Yes? Please specify which:

Designation sought:

Massotherapy (and/or) Kinesitherapy (and/or) Orthotherapy

Attach required documents

Maximum file size: 11 megabytes. If you experience any problems uploading your files using this form, please leave these fields blank and send us the files by email at If you have multiple diplomas or files, it is preferable to send them by email.

Accepted file formats : Word, PDF, zip, jpg, gif, bmp, png

Two pieces of photo ID. Ex: Driver's licence, Health care card (RAMQ), Passport or student card.

Diplomas, attestations, grades.

Provide two references living in Quebec. Family members should not be used. Ideally use other therapists, teachers or employers as references. If you were referred by one of our members, please also include their permit number as they qualify for 2 months of free membership, an AQTN promotion valid year-long.

Name, relationship and phone number of your two references:

You agree to abide by AQTN's code of ethics at all times in your practice.

You certify being 18 years or older, you are permitted to work legally in Quebec and that the information provided is accurate and complete.

Once you click Submit application, you will receive an automated email to confirm your email address, validate your mailing address and to process the payment if paying online.

Consult the membership fees (opens in a new window)