BeyondPTSD.org Mental Health Professional Submission Form Name Name & Title * Phone numbers * Email * Physical address. List practice URL if available. * List all the States that you are licensed to practice in. * [OPTIONAL] Please provide any social profiles that you would like linked to your profile, e.g. LinkedIn, YouTube, etc. Please provide a short bio about your experience and practice [40-50 word max]. List any qualifications you would like to have visible to patients. * [OPTIONAL] List any professional memberships you would like to have visible to patients. List any areas of expertise, e.g. PTSD, Eating Disorders, Personality Disorders. Please upload an image for your bio and listing. Note: Images must by a minimum of 720 x 720 pixels. If picture does not meet the size requirement or is not provided, BeyondPTSD will use a placeholder photo. Add File
