You have selected the CLINICAL ANNUAL MEMBERSHIP membership level.
The price for membership is $75.00 per Year.
Include your email address. If preferred, you may use your admin email address.
License
I am licensed to practice in my state/ jurisdiction, I practice within the scope of my license, and my license is in good standing.
Conversion Therapy Ethical Practice
I agree not to practice conversion therapy, use the sex addiction model or advertise as a Certified Sex Addiction Therapist (CSAT) on the MMHA website.
MMHA Mission and Position Statement Agreement
I agree to uphold the MMHA mission and position statements.
Working With Mormon Populations
I have an interest in working with Mormon populations and I agree to practice with cultural humility.
Upload a quality headshot photo. Your photo does not need to be taken by a professional, but should include: a. Clear eye contact b. Minimal background distraction c. Good lighting without dark shadows
Include your first name. 50 character limit
Include your last name. 50 character limit
Indicate your preferred pronouns (ie. she/her/hers, he/ him/his, they/their/theirs, etc)
Write the acronym for each of your credentials and spell out what each one means. If you are provisionally licensed, your acronym and full spelling must clearly show that you are not fully licensed. For example: Licensed Marriage and Family Therapist (LMFT) or Registered Marriage and Family Therapist Intern. 100 character limit. Please self-verify character limit in a separate word document.
List only your top specialties. 150 character limit. Please self-verify character limit in a separate word document.
Use this space to add detail and depth about your services. 2000 character limit. Please follow these guidelines: 1. Take full advantage of this space. You are unlikely to connect with potential clients if this space is blank, too short, or too general. 2. Write in first-person. 3. You can include a description of the types of clients you work with, your therapeutic approach, and relevant professional background information such as degrees or work experience, however, try to avoid sounding too formal or as if you have copied and pasted your resume. 4. Focus on connection, hope, and your personal niche. 5. Avoid cliche statements (ie. “Feeling stuck? Email me for an appointment). Connect and offer hope by using your own words that specify how you will help. 6. Avoid technical jargon that may be unfamiliar to clientele. Instead, use approachable and clear language with an empathetic and non-judgmental tone. 7. Avoid excessive personal information. Instead, maintain focus on the potential client who wants to be seen. 8. Avoid using content that is exactly identical on other webpages. Google can identify, and may hide, duplicate content. Please self-verify character limit in a separate word document.
Including your address is optional.
Hold down control/command to select multiple states.
Indicate whether or not you offer teletherapy
Indicate whether or not you offer insurance
