Therapist
&
Co.
Back
Register as an
independent
practitioner.
We carefully review every application to ensure a safe, credible, and professional community.
Your details
Contact information and identity verification.
Practice name
How your practice appears to clients. Defaults to your name.
Full name
*
Date of birth
*
Pick a date
Must be 18 or older to register.
Email address
*
Phone number
*
State
*
Select your state
For your invoice.
Legal name
*
Used on invoices, receipts, and for GST and TDS where they apply. Reviewed with your application and locked once your practice is live.
GSTIN · optional
PAN · optional
Registered address · optional
State
Government ID type
*
Select type
Professional details
Your credentials allow us to verify your qualifications.
Professional type
*
Select your role
Instagram
LinkedIn
At least one of Instagram or LinkedIn is required.
Password
*
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Confirm password
*
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A note for our team
I certify that I am qualified to provide the services I will offer through this platform, and that the documents I have submitted are mine and are accurate.
Continue your journey