Employment Questionnaire from Therapists in Fort Lauderdale

The next step in our application process is to complete this employment questionnaire. All applicants must complete it to continue onto interviews.

"*" indicates required fields

Name*
Are you fully licensed as a mental health clinician in the state of FL?*
What is your comfort level in working with clients in-person (vs telehealth)?*
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.