Thank you for your interest in joining Jax Therapy Network.
- Listing Title Field: Enter your First and Last Name, followed by your license abbreviation. e.g. Joe Smith, LMHC or Betty Jones, PhD
ATTENTION INTERNS: Per Florida Statute 491.0149 Display of license; Use of Professional Title on Promotional Materials – 2(a)/(b), all interns are required to fully spell out their license title/description and cannot use abbreviations.* As such, JaxTherapyNetwork.com requires the same and, at it’s own discretion, may suspend or remove any listing which does not abide by the statute as defined.
*Accurate as of 051421. Visit link for most recent version.
- Address/Listing Locations:
- Users WITH a physical locations in Florida or Georgia: use “Listing Locations” section at bottom of the form.
- Users with a physical location other than Florida or Georgia: Use “Address (via Telehealth)” in “Contact Information” section.
Returning user? Please Log in or register in this submission form.