New Ways for Families® Provider Listing
What you need to know: 
Before you can be listed on our provider page (optional listing) we require you to please fill in the questions / details below. Your details will appear in your listing on our Conflict Playbook website under the 'Providers' tab. (conflictplaybook.com)

NOTE: If you do not want to be listed, (no problem) - it's optional.

Questions - please email newways@highconflictinstitute.com
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First name *
Last name *
What is your Profession? (please type your profession) *
What is your Business or Company Name? (Leave blank if not applicable.)
Please provide your website address if you have one.
What is your email address? (So parents and professionals are able to contact you.) *
What is your work address? (Leave blank if you do not have a work address or want this kept private.)
Please type 
1. Your suburb or town where you work, 
2. Your state, 
3. Country
Eg Beverly Hills. California. USA. Note: We require this information so we can upload your information to your location so you can be contacted.
*
What is your contact work phone number?
What is your contact cell / mobile number?
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