List Your Therapy Practice

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List Your Practice (free, no credit card required. Upgrade if you get referrals)


Your Practice Type:*	←Select this first.
Your Professional Title:*
Your Email*:	Will not be shown on your profile. Our system will forward messages to this address.
Retype Email:*
Create Password:*	(at least 5 chars)
First Name:*
Last Name:*
Designations:	E.g. MSW, LMT. Don't repeat your name here. chars left
Practice Name:	chars left Leave this blank if you don't use a practice name. Don't repeat your own name here.
Headline 1:*	chars left. The shorter your headlines are the bigger their font will be. Edit your profile later and experiment.
Headline 2:	chars left.
Profile Display:*	Display my name on my profileDisplay my practice name on my profile
Clients Contact Me By:*	Phone or EmailPhone onlyEmail only
Profile URL:*	TherapyNext.com/Profile/ chars left Choose your personalized profile page URL here. Keep it meaningful and simple (i.e. /YourName). Must contain only alphanumeric characters (a-z and/or 0-9) and "_" or "-" instead of spaces. Example: If you enter JohnSmith your profile URL will be: therapynext.com/Profile/JohnSmith
Address:	If you are a mobile practice, leave this blank.
Suite/Apt #:
City:*
State/Country:*	Don't see your country? Let us know and we will add it and update your listing.
Zip/Postal Code:*	Only use 5 chars for U.S. zip codes.
Phone:*	Will not show on your profile if you choose "Clients Can Contact Me by Email Only" above.
Click to add a 2nd address

Website:

E.g. www.mysite.com

Hours:

Cost/Session:

Sometimes it's best to leave this blank and discuss fees on the phone.

Payments Accepted:
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E.g. cash, check, type of insurance, credit cards.

License Info:

About:*
(300 chars min)
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Bio:
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Education/Training:
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Memberships/Associations:
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Other Languages:

Practice Areas/Issues Treated:*

Your Certifications:*

Helpful links for potential clients. These display on your profile as additional information for clients.

• All links must have descriptions.

Link #1:

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E.g. http://feelbetter.com

Link #1 Description:

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E.g. Daily routines that can improve your health and wellness

Link #2:

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Link #2 Description:

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Link #3:

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Link #3 Description:

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Link #4:

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Link #4 Description:

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Link #5:

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Link #5 Description:

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Allow Recommendations:

If checked, you can get recommendations from friends and colleagues, similar to LinkedIn.

Terms:*

I agree to the Professional User Agreement and Terms of Service

Alt. Address:
Alt. Suite/Apt #:
Alt. City:
Alt. State/Country:
Alt. Zip/Postal Code:	Only use 5 chars for U.S. zip codes.
Alt. Phone: