Sponsored Therapist Application

Please include all required information below. Please note we ask for file uploads including a resume, Letter of Good Standing for a state licensing board and 2 professional reference letters.

Please note that required fields are marked by an asterisk.*

Name(Required)
Max. file size: 512 MB.
Max. file size: 512 MB.
Max. file size: 512 MB.
Max. file size: 512 MB.

Questions? Contact us directly

Email:

[email protected]

Phone:

(929) 382-8464

Address:

1850 Amsterdam Ave

New York, NY 13001