Welcome to Manas

Are you a clinician of Indian origin ? *

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Yes No

First Name *

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Middle Name

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Last Name *

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Are you a Counsellor, Psychologist or Psychiatrist *

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Counsellor Psychologist Psychiatrist

Name of Practice *

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Indian languages you can speak in *

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Suburbs where you practice *

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Contact Phone Number *

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Contact Email *

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Website

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Are you a Medicare provider *

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Do you provide any discounted services for International students or Non-residents *

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Yes No Other

Please provide a brief Bio Profile of yours (1-2 Paragraphs) *

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Do you give us permission to share your profile on MANAS website ? *

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Yes No

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