Apply — Tandem Alliance

About you

Basic information about who you are and where you practice.

First name *

Please enter your first name.

Last name *

Please enter your last name.

Email *

Please enter a valid email.

Phone

Website

State you are licensed in *

Please select a state.

City / Region *

Please enter your city or region.

Your practice

Tell us about your credentials, specialty focus, and how you work.

License type *

Please select your license type.

License number *

Please enter your license number.

Years of clinical experience *

Please select your experience level.

Primary specialty *

Describe your primary area of focus in your own words. This is what clients will be matched to you for.

Please enter your primary specialty.

Relevant certifications

List certifications tied to your specialty (e.g. EMDR-certified, Gottman Level 2, CSAT, PSI-PMH-C).

Style of therapy *

Please select your therapy style.

Briefly describe your clinical focus *

In 2–3 sentences, describe who you work with and what you specialize in. This helps us understand your fit.

Please describe your clinical focus.

Fit & availability

These questions help us confirm alignment with our directory standards and your current capacity.

Are you currently accepting new clients? *

Yes Within 30 days Not currently

Do you offer virtual sessions? *

Tandem Alliance requires therapists to offer at least some virtual availability.

All virtual Hybrid (in-person + virtual) In-person only

How many new clients can you take per month?

Payment methods accepted *

Select all that apply.

Private pay / self-pay In-network insurance Out-of-network (superbills provided) EAP referrals accepted Sliding scale available

If you accept insurance, which panels are you on?

Languages spoken

Anything else you'd like us to know?

Review your application

Please confirm the details below. Once submitted, our team will review your application and respond within 5 business days.

I confirm that the information provided is accurate, and I understand that Tandem Alliance will verify my license and credentials as part of the review process.

Join the Alliance.

About you

Your practice

Fit & availability

Review your application

Application received.