Register User – therapistlinkup.com

Create Your Therapist Account

Join our trusted network of certified therapists. Create your professional profile, showcase your expertise, and connect with clients looking for support in your area of specialization. No plans or contracts. Enjoy full benefits for $20.00/month.

BASIC INFO

OTHER DETAILS

PROFILE DETAILS

BILLING

Prefix *

Prefix is required

First Name *

First name is required

Middle Name *

Middle name is required

Last Name *

Last name is required

Username *

Username is required

Email *

Email is required

Password *

Password is required

Phone *

Phone is required

Date of Birth *

Date of birth is required

Street Address *

Street address is required

Apartment, Suite, etc

City *

City is required

State / Province *

State is required

ZIP / Postal Code *

ZIP code is required

Country *

Country is required

License State *

License state is required

License Number *

License number is required

Upload Image *

Image is required

My Distinctive Approach to Care *

This field is required

Profile Description *

Profile description is required

Types of Therapy *

Please select at least one therapy

Types of Sessions *

Select at least one session type

Specialty & Expertise *

Select at least one specialty

Insurance *

Insurance selection is required

Session Type *

Select session type

Payment Methods *

Select payment method

Languages *

Select language

Location *

Select at least one location

Choose Subscription Plan *

Subscription plan is required

Card Holder Name *

Card holder name is required

Card Number *

Valid card number required

Expiry Month *

Expiry month required

Expiry Year *

Expiry year required

CVC *

CVC required