The GALAP Pledge January 2021 Update
Thank you for your interest in signing or re-signing the GALAP pledge! We are in the process of updating our provider listings. In the next 6-12 months, we hope to have a system through which you can update your own information.

NOTE: Even if you have signed the pledge in the past, we ask that you complete this form again so that we have up-to-date information, as well as new information that we are asking for (e.g., language capacity). Please complete this updated version of the GALAP Pledge ONCE to avoid duplicates. It is not an error if your name is not added immediately; we add names manually on a monthly basis.

By signing this pledge, you agree to publicly state your commitment to the GALAP movement and writing letters for free or low-cost. We ask that you only sign if you are a LICENSED MENTAL HEALTH PROFESSIONAL with a practice where clients can meet with you (in-person or virtually) to provide the service of letter writing.

We ask that pledge signers:

1. Complete at least one free session AND letter a month (based on demand).
2. Refrain from charging a fee for any additional letters (beyond the free letter)*, unless covered by insurance.
3. Refer to the GALAP network if you are not able to write any more free letters in a given month.
4. Use an informed consent approach in your interviewing and letter writing process.
5. Understand that the GALAP is not liable for any work you do and that you should work within the bounds of your scope, legal and ethical guidelines, and liability insurance.

*Letters written as part of ongoing therapy with clients who are part of your current practice are charged at the regular therapy rate. Any additional time on letter writing outside the therapy session, including clinical consultation, communication with surgeons and medical staff, should be done for free and not charged to the client. For more info, see FAQ section at
Email address *
Do you agree to the above commitments? *
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