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Become a Therapist

July 13, 2018 Written by admin.

Become a therapist

(You must have a valid drivers license, vehicle insurance, smart phone capable of text, email, GPS and you must be comfortable using your smart phone.)

Name

Email

Phone

Address

City, State, Zip

Gender

Male Female

Years as a therapist?

Modalities willing to perform

Do you have a table?

Yes No

Do you have a chair?

Yes No

Do you have a wheeled table cart?

Yes No

What areas are you willing to work?

Los Angeles Orange County Phoenix San Diego - North San Diego- South

What days are you available?

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

Do you have a reliable vehicle?

Yes No

Do you have vehicle insurance?

Yes No

Are you currently licensed in the state you are applying in?

Yes No

Do you have a smart phone capable of text, email and GPS?

Yes No

Are you allergic to any animals or scents?

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