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Therapist Directory Application Form 

Join the Altars and Couches Network

Where Clinical Excellence Meets Christian Faith 

We're Building Something Beautiful — Join Us Free Until February 2026
 

As we prayerfully expand Altars and Couches to better serve both clients and therapists, we’re offering free directory listings until February 2026. This allows us time to grow and refine our platform while giving you visibility and connection. After this grace period, a monthly fee will apply.

Please note that once you submit this form, you receive an email confirmation acknowledging the receipt of your submission. If we have any questions we will reach out to you within 7 business days. If approved, your listing will be live within 7-10 business days following your application. Thank you for your application!

Section 1: Contact & Practice Information 

Provide your basic contact details and practice information to help us understand your availability and reach.

Do you offer virtual therapy?
Yes
No

Section 2: Credentials & Services  

Share your professional qualifications and the services you provide so we can match you with clients effectively.

Specialties (check all that apply)
Other specialties
Populations Served (check all that apply):

Section 3: Faith Integration   

Help us understand how your faith-based approach aligns with our mission. 

Section 4: Profile Information for Directory  

This section will help us create your public profile in the directory. 

This section is the heart of your directory listing. It not only tells potential clients what you do, but gives them a glimpse of who you are. A warm, inviting bio builds trust and helps clients feel safe before they ever reach out. Take a moment to introduce yourself in a way that’s clear, compassionate, and true to you.

Add a heading

Would you like to be featured on our social media or email newsletter?
Yes
No

Section 5: Legal & Agreement    

Ensure compliance with ethical standards and alignment with our values. 

Are you HIPAA compliant and able to provide a secure space for client sessions?
Yes
No
Do you agree to uphold the values of Altars and Couches, which include offering professional, ethical, and faith-informed care?
Yes
No
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Upon submitting this form, we will review your application. Our processing time is 7-10 days. If we have any questions regarding your application, we will reach out.

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