4K Wellness

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4K Wellness

Thank you for your interest in joining 4K Wellness.

We’d love to learn about you to see if you are a good fit. Please fill out our application and a 4K Wellness team member will reach out to you within 1-2 business days.

Thank you!

Please complete this quick self-test to check if you'll be a good fit for our community.

Community is important to you and you understand the priceless value of being part of a strong community.

Creating meaningful connections is more appealing to you than large networking events.

You are constantly learning and growing both professionally and personally.

You believe in collaborating with other therapists and do not believe that you are competing with others for clients.

Name *

First and last name

What's the best number to contact you at? *

What's the best email address? *

Which of the following degrees/licenses do you have? *

LCSW

LMHC

LMFT

LPC

Psychologist

Psychiatrist

Registered Intern

Other:

Required

What is your license number?
*

Have you ever been the subject of any disciplinary action or malpractice claim?

*I affirm that all the information and answers to questions herein are complete, true and correct to the best of my knowledge and belief. I understand that any misrepresentation, falsification, or omission of any facts called for in the application may render this application void and will be cause for termination, legal action, and reporting to the appropriate parties.

When would you like to join the 4K Wellness community?
*

YYYY

What benefits are you interested in?
*

Hourly / On demand

Part-Time (1-3 days a week)

Full-Time (4+ days)

I'm not sure yet

Required

Before you go, how did you hear about us?
*

4K Wellness member

Google Search

Facebook

Instagram

Community Event

Other:

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