Clinician Application Form Please enable JavaScript in your browser to complete this form.Thank you for your interest in Guide Mental Health!In order to ensure that the treatment philosophy of Guide Mental Health is a good fit for you, we ask that you review our website or contact us as info@guidementalhealth.comName *FirstLastEmail *Phone NumberWhy are you interested in joining the Guide mental Health team?Experience providing treatment to the following populationsSelect 1 for no experience and 5 for extensive experience.Children 0-6 Level of Experience: 0 Children 6-12 Level of Experience:: 0 Youth 12-18 Level of Experience:: 0 Adults Level of Experience:: 0 Families Level of Experience: 0 Couples Level of Experience:: 0 OtherIn what treatment modalities do you have experience/training in?Select 1 for no experience and 5 for extensive experience.DBT Selected Value: 0 CBT Selected Value: 0 EFT Selected Value: 0 Trauma Therapy Selected Value: 0 Narrative Therapy Selected Value: 0 Systems Theory Selected Value: 0 Family of Origin Therapy Selected Value: 0 Play Therapy Selected Value: 0 Mindfulness Selected Value: 0 Art Therapy Selected Value: 0 ABA Selected Value: 0 B-Mod Selected Value: 0 Experiential therapy Selected Value: 0 Attachment-based Therapies Selected Value: 0 Collaborative Problem Solving Selected Value: 0 OtherWhat population(s) and therapeutic approach(es) would you like to be the focus of your work with Guide Mental Health?At Guide Mental Health, we endeavour to provide opportunities for clinicians to develop and expand their skill set. Is there a population or treatment modality that you are interested in learning more about?Is there a population to whom you are NOT comfortable providing service?Do you have experience teaching or providing workshops or training? Would this be something you would be interested in doing with Guide Mental Health?Current AvailabilityMondayAMPMEveningTuesdayAMPMEveningWednesdayAMPMEveningThursdayAMPMEveningFridayAMPMEveningSaturdayAMPMEveningSundayAMPMEveningPotential conflict of interested related to other employmentAccess to a vehicle?YesNoPrivate office space?YesNoIs there anything else you would like us to know about you?File Upload Click or drag a file to this area to upload. Please attach a copy of your CVMessageSubmit
