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  • Your Information

  • Pre-Screening Questions

  • 1. Are you in private practice? 2. Please list your active mental health license(s) (LPC, LMHC, etc.). If you have licenses in multiple states, please let us know. NOTE: Unfortunately, if you are an intern or if you require supervision to provide counseling services, you cannot be a provider with us at this time. Also, we are unable to accept substance abuse counselors, occupational therapists, school counselors, registered nurses, career counselors, Christian counselors and business coaches (unless they have an additional license as a therapist.
  • What are your thoughts about involving pets in a therapy protocol for the purpose of supporting or improving patients' social, emotional, physical, or cognitive functioning?
  • Have you ever assessed a client's needs for an Emotional Support Animal letter of recommendation? Have you ever written an ESA letter for a client?
    Are you currently working with, or have you ever worked for, an online ESA vendor (such as Certapet)?
  • On a scale of 1-10 (1 being poor, 10 being stellar), how would you rate your computer skills in the areas of: 1. General Internet usage 2. Video calls 3. Microsoft Word Please provide an answer for each item.
  • Resume Upload (PDF, DOC, and DOCX only)

  • Accepted file types: pdf, doc, docx.
  • Accepted file types: pdf, doc, docx.