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Membership Application

Apply to join the Clinician Referral Network, a vetted, vouch-only referral network for California pre-licensed and licensed therapists. Every member is license-verified and personally vouched in. Free to join.

Full Name

Email

Where referrals will reach you.

Credential

License / registration number

Therapists: verified at search.dca.ca.gov. Nurse practitioners: verified through the Board of Registered Nursing (rn.ca.gov), and Psychiatrists at the Medical Board's license lookup (mbc.ca.gov)

Supervisor of record (associates only)

Required if your credential is AMFT, ASW, or APCC. Leave blank if licensed.

City / Area

Specialties and populations

e.g., couples, perinatal, trauma, adolescents.

I want to...

A
B
C

Vouched by

An existing member who knows your work. Founding members may write "Founding". If unsure, write "David Libby".

Agreement

I am currently licensed or registered in good standing in California and agree to the network referral norms.