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Apply to be a Healpass Dao Practitioner
First Name
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Last Name
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Phone Number
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Email
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Location
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Booking Link (How do you accept bookings currently)
Telegram
Existing Business
About how many patients do you see a month?
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How many new patients do you see a month?
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If you have more patient inquiries that you can fulfill, about how many total patient inquiries do you receive a month?
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What are the main sources of your existing patient flow? check all that apply
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What are the main sources of your existing patient flow? check all that apply
Referral
Booking Platforms
Social Media
Ads/ Funnels
Other provider networks
I have a marketing team/ sales team and running full marketing funnels
About how many total patients are you seeing a month?
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About how many total patients are you seeing a month?
1-15
15-35
35-80
100+
What do patients primarily see you for (any specialties please highlight)
What is your monthly or annual revenue (estimate)
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What are your biggest expenses?
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Are you spending any money on marketing systems or ads?
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Are you spending any money on marketing systems or ads?
sometimes paying for promotion/ zocdoc/ booking platforms
I have an agency working for us
I have an internal marketing team
Experimented with it, but not operating any consistently
If you are running marketing, please share how much it costs/ ROAS and what's working or what can be improved?
What are your current biggest pain points?
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What are your current biggest pain points?
an automated system for consistent patient flow
finding ways to expand revenue without expending more time
Lack of collaboration with other providers, and peer support- lonliness
keeping up with the shift to digital marketing/ trends/ trying to attract patients on social media
educating consumers on value of offer/ building trust/ "sales"
chasing payments/ admin burnout
Profile Information
Profile Picture
Click to choose a file or drag here
Size limit: 10 MB
Title
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Bio
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List Credentials and or Certifications
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What are You Interested in Facilitating?
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Complimentary Experts, Healers and Facilitators
Untitled checkboxes field
1:1 Sessions
Virtual Group Classes
Healing Cohorts ( Consistent Group Meetings Over 1-6 month, Results Based Condition Specific Programs)
Exclusive Programs (retreats/ one time exclusive programs, other)
Which categories does your work fall under?
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Which categories does your work fall under?
A
Foundational Health: Core health systems, diagnostics, and functional protocols
B
Performance Health: Longevity, Biohacking
C
Precision Healing: Expert-led solutions for chronic, complex, and condition-specific healing
D
Mind Optimization: Neuroscience, Epigenetic's, Mental Performance
E
Emotional Fitness: Emotional Therapies, Trauma, Limiting Beliefs,Somatic Coaching, Nervous System
F
Elevate: Energetic, Spiritual, Intuitive, Higher Consciousness, Shamanic Modalities
G
Other
If Other, Describe The Categories, Subcategories You use to describe your work
Can you work virtually or do you require in person care?
List areas of expertise or conditions you have had success healing
Virtual Group Classes
Class Title & Description
Schedule
Healing Cohorts
Program Title and Description
Program Details, Frequency and Duration
Pricing
Capacity
Is this an existing program? Provide link to details/ curriculum.
Thank you for your interest, we will review the applications and be in touch about next steps, in the mean time, engage with the community on discord or telegram for Healer to Healer support and resources!
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