NEW THERAPIST DIRECTORY

First Name*
Last Name*

Email Address*

Phone Number*

Centre Name*

Email Address*

Phone Number*

Professional Website

Number of therapists practicing at centre*

Are all therapists at your centre accredited with appropriate professional organizations?*
YesNo

Image: We will follow up with you via email for your centre's profile photo (to ensure it is saved and sized optimally)

Description shown on profile: Please provide a short, 2-3 sentence introduction to your centre's therapeutic practice/approach. (Max: 750 Characters) *

750

Do you offer remote therapy?
YesNo

Do you offer individual therapy?
YesNo

Do you offer group therapy?
YesNo

Country*

Province/State/Territory/Not Applicable*

City*

WOULD YOU ALSO LIKE TO JOIN THE HEADSUPGUYS EMAIL LIST FOR UPDATES AND ANNOUNCEMENTS? (Primary Contact)
YesNo

By submitting, you confirm that all therapists at your centre are committed to anti-discriminatory values in their practices, aligning with the HeadsUpGuys Statement of Values as expressed on our About Us.

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