Provider Signup

If you are a registered psychologist in Canada and would like to be a part of the next generation of mental health care, please fill out the form below. This is an exciting opportunity to grow in telemedicine, giving you freedom and control of your work.

First Name:
Last Name:
Email:
Phone:
Provider Type:
Board Certified:
Specialty:
Active Licenses:
Part Time/Full Time?
Portfolio/Site Link:
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