Update Provider Profile

Enter all license numbers that are regulated by state authorities and the applicable state.

Enter all professional board certifications, issuing body, state and other applicable information.

Enter all educational degrees that pertain to your modality (degree, school, year graduated)

Enter all certifications you have earned applicable to your modality including what the certification is for, the issuer, and the year obtained.

Check all that apply. We reserve the right to make changes as appropriate

Check all that apply. We reserve the right to make changes as appropriate

You can list up to 5 services plus an initial consultation offer. Please provide your RETAIL PRICE or the total compensation for the service listed if you choose to discount. If your normal price is greater than $60, we will calculate how it will read in our directory (amount client pays at time of service plus our $60 payment per authorization code given to you by client). Remember, if your retail price is less than $60, we pay the lesser amount.

Do you offer a free initial consultation or any other special discounts or services to get clients in the door? Note: we reserve to omit items that do not fit into our model. This is not for the Healthy Living Savings Card

If you wish to accept the Healthy Living Savings Card, what discount do you wish to offer? (We recommend at least 15-25% discount, but it is your choice). BE AS SPECIFIC AS POSSIBLE.

If you are restricted to only offering services or products in certain states, please list areas where you can work with clients.

Which categories should we put you in?

The more intriguing, amazing, or humorous your title, the more often it will be selected.

I understand I will be compensated up to $165.75 (65% of what You Define Wellness collects) if an employer has purchased a la carte wellness education, and no compensation if they have the Employee Wellness Benefit Plan as attendees will have sessions they may wish to use with me.

Besides English, what languages are you able to communicate in with clients/patients?