Licensure Documentation Form

  • Drop files here or
    Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB.
      Upload a copy of your CURRENT license, certification, or the equivalent, as a mental health professional per the guidelines of your state, province, or country. If you don't have a digital copy of your license, you may either scan or photograph it. Click here if you need additional instructions. *Please make sure your file size is no larger than 10MB.