Therapists Resource Page Intake Form

Please see this SAMPLE LISTING to properly create your listing for our website. Thank you!

Note: You can make a copy of the SAMPLE LISTING so you can edit it easily to create your listing elements in the right length.

SAMPLE LISTING

Name(Required)

First Last

Email(Required)

Phone(Required)

Upload Your TRANSPARENT PNG Logo

Please add a .png logo file with a transparent background with resolution of 72-96 dpi.

Drop files here or

Max. file size: 256 MB.

Upload Your Professional Headshot

Please add a professional quality photograph of yourself at 72-96 dpi.

Drop files here or

Max. file size: 256 MB.

Business Name As You Want It To Appear

Link To Your Booking Page(Required)

Link To Your Website(Required)

Please share your name as you want it to appear, credentials, and a short list of main offerings(Required)

Please do not exceed 15 words or so. Example: Dhyana Bohnet, AP, NC, CMT Ayurveda Practitioner, Nutrition and Herbs, Vedic Astrology and Life Coaching

Please share a list of up to 10 short bullet points about the types of services you offer.(Required)

Please do not exceed 10 short bullet points about your offerings. If you provide a web link, we will lead people to your website where they can read more about you.

Please share a brief 100 word short bio(Required)

Please do not exceed 100 words in your bio. If you provide a web link in the field above, we will lead people to your website where they can read more about you and your offerings.

Therapists Resource Page Intake Form

ENERGY WAVE CENTER™ An Energy Spa for the Body, Mind & Spirit

ENERGY WAVE CENTER™
An Energy Spa for the Body, Mind & Spirit