Application Forms

Hello and thank you for your interest in GPACT.

Before continuing with this registration process, please review the application’s requirements. If you have any question, please contact pcobb@gpact.org.

Please note: Your application is NOT complete until you have supplied the required proof of your qualifications.

• THERAPIST – Word version / PDF version
• FACILITY – Word version / PDF version
• AFFILIATE – Word version / PDF version
• ADVOCATE – Word version / PDF version

You do not have to mail your application packet. If you do not have a scanner or fax machine, you can submit your application packet by email taking clear photographs of each page of the document you printed and completed.