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MENU
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About
How It Works
For Families
For Therapists
For Physicians
Addiction
Home
|
Client Login
Join Our Canada-Wide Network
Hasu eCounselling
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Join Our Canada-Wide Network
Step 1 of 3
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First Name
*
Last Name
*
Email Address
*
Home Address
*
City
*
Province
*
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
*
Phone Number
*
Add a brief biography statement promoting yourself and how you can help a client. (In first person).
*
Upload a professional photo of yourself in high resolution for your biography. (BIG smile! No selfies.) Note: Maximum File Size is 5MB
*
Drop files here or
Are you able to provide counselling in all Canadian provinces? (Please check with your regulatory body.)
*
Yes
No
Do you have any training or experience in providing supervision for psychotherapists?
*
Yes
No
List the issues you specialize in.
*
ADHD/ADD
Addiction
Aging
Anxiety
Bipolar Disorder
Borderline Personality Disorder
Codependency
Couples
Depression
Divorce
Eating Disorders
Family
Grief and Loss
LGBTQ
Nutrition
Obsessive Compulsive Disorder (OCD)
Panic Attacks
Problem Gambling
PTSD
Relationships
Sexual Abuse
Social Anxiety
Spirituality
Stress
Substance Abuse
Trauma
Youth
Anger
Sexuality
Sex Addiction
Work Issues
Other
List the languages you are able to provide counselling in
*
English
French
Spanish
Italian
Farsi
Russian
Punjabi
Mandarin
Other
Please upload proof of your degree. (A scan or photograph of your diploma) Note: Maximum File Size is 5MB
*
Drop files here or
The name of your College and registration number (i.e. College of Registered Psychotherapists of Ontario, Ordre des psychologues du Québec)
*
Your designation (i.e. Registered Psychotherapist, Registered Counselling Therapist)
*
Additional Colleges and membership numbers
Please upload photo or scan proof of Professional Liability Insurance policy. Note: Maximum File Size is 5MB
*
Drop files here or
Please upload photo or scan of a recent Vulnerable Persons Police Check. Note: Maximum File Size is 5MB
*
Drop files here or
Please upload your resume. Note: Maximum File Size is 5MB
*
Drop files here or
Name and email addresses of two references who are current or past employers/supervisors.
*
Comments or questions?
Please note: Large files may take some time to upload. Click on the submit button only once and wait until upload is complete.
Thank you for applying to the Hasu Provider Network!
Questions? Give us a call.
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