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Full name

Pronouns

Regulatory designation (RP, RSW, C.Psych, RSSW, other)

Registration number (CRPO or OCSWSSW)

Areas of speciality

Areas of speciality

Modalities

Modalities

Who you work with:

Who you work with:

Session format

Session format
A
B
C

Location / Neighbourhood

Session fee

Insurance accepted

Insurance accepted
A
B

Availability (days + times)

Short bio (200 words max)

Express yourself. pick 3 prompts to include on your profile — your answers are what clients will connect with most.

Express yourself. pick 3 prompts to include on your profile — your answers are what clients will connect with most.

Headshot photo

Intro video link (Loom, YouTube, Google Drive — 60–90 seconds)

Email address

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