The HeadFirst Mental Health Initiative (HMHI) Contract Therapist Application

Thank you for your interest in the HeadFirst Mental Health Initiative. The information you provide will help us build a valuable resource for individuals seeking mental health services in their area. If your application is approved, you will receive further instructions within 2-4 weeks at the email address you’ve provided. We appreciate your patience as we work to refine this project to better serve both providers and clients.

For any questions, please visit our website or email info@hmhidallas.com.

Thank you for applying! Your work and representation are highly valued.

Email *
Name *
First and Last Name
Email *
Phone Number *
Credentials (Professional Title)
Please separate multiple credentials with a comma and one space

Note: Student interns and life coaches will not be accepted
 Licensure Level and Years of Experience
Office Zip Code
Treatments Provided
(Parenting, Play Therapy, Adolescent/Teen Therapy, Group Therapy; Testing, Etc).
Ages Served
Specialities
Racial Background
 Languages Spoken
Thank you for applying to HMHI!
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