Apply as a provider

Please take a few minutes to tell us about your experience and interest.

Name

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Which best describes you?

I'm fully licensed to practice counseling independently

I'm soon to be fully independently licensed

I’m an associate / practicing under supervision

Other

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What type of license do you have?

Mental health counselor (LMHC, LPCC, LPC)

Clinical social worker (LCSW-R)

Marriage & Family Therapy (LMFT)

Psychologist (PsyD, PhD)

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Where are you currently licensed to practice?

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FloridaNew YorkTexasOther

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Which states are you almost fully independently licensed in?

(Select all that apply)

FloridaNew YorkTexasOther

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How close to licensure are you?

Any estimated or anticipated timelines are helpful for us to know.

Timeline

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Is your supervisor open to you working on an asynchronous care platform?

We can't guarantee this as an option on our platform, but are eager to learn about interest.

Yes

Uncertain

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Tell us about your interest

Share additional details or any questions you have, and we'll happily reach out with more information.

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Thanks for your interest

We've received your information and will reach out to your email shortly!

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