Professionals Directory Sign Up

Are you interested in joining our directory of Allied Professionals? Please complete the form below with all the details you’d like to see on your listing. We will review and approve your listing within 3 business days. The fee to join the Professionals Directory is $60 per year (billed annually). We will send you a payment request once your listing is approved.

If you are a therapist and would like to join our Therapist Directory, please visit the membership pages.

Professionals Directory – Member Sign Up Form

This field is for validation purposes and should be left unchanged.
Your Name(Required)
This information will not be public
Name of your practice or a secondary title (if applicable)
You may enter the URL for a website, or public social media account
Please provide a short bio (300 words max)
Area of Practice(Required)
Please select your area of practice (choose as many as apply)
Please upload a profile photo in JPG or PNG format. Maximum allowed size: 128MB
Accepted file types: jpg, jpeg, png, Max. file size: 128 MB.
Method of Payment(Required)
How would you like to pay? We will send you a payment request. (The fee to be listed on our professionals directory is $60/yr.)