Application to Join For Treatment Professionals Only

Thank you very much for your interest in joining For Treatment Professionals Only. Please tell us a bit about yourself so we can determine if you'd be a good fit for this free community of verified treatment professionals. Assuming you are, you can expect to receive an invitation to the group within 24 hours.

Name: *

Treatment Center Affiliation (if any):

Email (please use your work email address from a treatment center or other treatment-oriented facility): *

What is your role in treatment (please check all that apply) *

Please list any treatment-oriented credentials (if any):

Why would you like to join For Treatment Professionals Only (optional)?

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