This email address is not made public.
Is this an individual profile or organization profile?
Choose whether you'd like to create a profile for yourself or on behalf of an organization.
Contact Information
For example: Psychiatrist, Licensed Marriage and Family Therapist. Spell out.
Do not use acronyms
This must be an external URL such as https://example.com.
Office Information
Office Address
Describe the accessibility of this office. For example, is it wheelchair accessible? Provide directions using public transit, how to enter the building, and include any other specific instructions.
Background and Expertise
One file only.
100 MB limit.
Allowed types: png jpeg jpg jpe gif webp svg.
Allowed types: png gif jpg jpeg.

License(s)

 Order
License

Degrees / Qualifications

 Order
List the degrees and qualifications relevant to your practice. For example, MD or PsyD.
About text formats
A two to three sentence description of you or your organization.
Include a video introducing yourself to potential clients.
It is recommended to upload your video to YouTube and then paste the video URL into this field.
Gender(s)
Choose gender identities that apply to you. This will help potential clients find providers that reflect their own gender experience.
Pronouns
Provider Pronouns
Choose pronouns that apply to you.
Provider Race
Choose all that apply to you.
Ethnicities
Provider Ethnicities
Choose all that apply to you.
Provider Identities
Choose all that apply to you.
Audiences Served
Choose all that apply.
Languages
Languages
Choose only languages in which you are competent to provide services in.
Areas of Expertise
Choose all that apply.
Types of services
Types of Services
Choose all that you offer.
Modalities
Modalities
Choose all that you offer.
Finances
One file only.
100 MB limit.
Allowed types: jpg jpeg pdf png.
Fees
Accepts Insurance
Accepted Insurance Plans
Check all that apply.
Types of Payment Accepted
Choose all that apply.
Availability
Offers Telehealth Sessions
Supported Telehealth Platforms
Select all of the platforms you are willing to use for sessions.
Accepting New Patients
Published Status
If you are still working on your profile, set it to Draft.
Agree to Terms and Conditions