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Give a Month, Get a Month Free!
Refer a psychotherapist through this form to give them one free month. You'll get a free month of membership for each colleague who signs up for a Journey Clinical membership.
Your name
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Your email
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Colleague first name
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Colleague last name
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Colleague Email
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Colleague Phone (if available)
State
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Colleague state
Not applicable
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia (Washington)
Other
Colleague License type
*
Colleague license type
Clinical Psychologist
LCAT (Licensed Creative Arts Therapist)
LMFT (Licensed Marriage and Family Therapist)
LMHC (Licensed Mental Health Counselor)
LCSW (Licensed Clinical Social Worker)
LMSW (Licensed Master Social Worker)
LICSW (Licensed Master Social Worker)
LICSW (Licensed Independent Clinical Social Worker)
LPC (Licensed Professional Counselor)
LPCC (Licensed Professional Clinical Counselor)
LCPC (Licensed Clinical Professional Counselor)
Healthcare Provider (MD, NP, PA, RN, etc)
Pre-Licensed Professional
Other
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