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CONFIDENTIAL

Client Registration

Thank you for your interest in becoming an Open Path Healing Arts Collective member. We look forward to receiving your registration form. Please know this form is only shared with Open Path staff and the practitioner that you have chosen.

To register, fill out our simple online client registration form and pay a one-time, lifetime membership fee of just $49. To find out why we charge a membership fee, and how the fees are used, please click here.

Please note that if you would like to work with a psychotherapist, a separate membership through Open Path Psychotherapy Collective must be purchased.

If you have any questions, we are also available by direct email, live chat, text, or phone:

Registration

Do you need mental health services? Visit Open Path Psychotherapy Collective

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Required Only if Client Is A Minor
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Please make sure your email address is correct, as email is our primary method of communication with members.
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Please format as mm/dd/yyyy (e.g., 01/22/1980)
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YOUR ADDRESS
Street address, P.O. box, c/o
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Apt, Suite, Office, etc.
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FINANCIAL INFORMATION
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This could include yourself, spouses/partners, parents, grandparents, children, etc.
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This could include yourself, spouses/partners, parents, grandparents, children, etc.
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If you have an annual household income greater than $100,000, you are not eligible for this program
Additional Financial Information

Please fill out this section in detail. You can write "0" if a certain field does not apply to you (e.g. childcare expenses). Your responses will help us understand your financial situation and determine your eligibility for this service.

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Please keep your response to 50 words or less
HEALING ARTS CARE
Please make sure you select a practitioner from our database, and provide their name.
Please also make sure the practitioner you've chosen practices in the same state where you live.
Please select a practitioner, or search for one in our directory.
To better serve you, please select your disciplines of interest:
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Should an in-office practitioner not be available in your area, would you be willing to work with a practitioner in your state by telephone or face-to-face using an internet-based video service?
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Reduced session fee agreement
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By typing your full name here you certify your agreement to the above clauses and you agree to our Terms of Service
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Next Steps
After you submit your registration form, we will guide you on how to pay Open Path Healing Arts Collective’s one-time $49 membership fee. After the fee is paid, we will email your Healing Arts Member ID. You can use the Member ID email to show your practitioner that you are a Healing Arts Collective client. This email will contain your practitioner’s contact information.

Please note that all of the information contained in this registration form is for Open Path Healing Arts Collective’s administrative use only. It will never be made public under any circumstances and will only be shared with your prospective practitioner.

If you are in a life threatening situation, do not use this site. If your issue is an emergency, call 911 or go to your nearest emergency room.
For quicker processing of your membership, please use the same email address in your registration and payment forms.

If you are in a life threatening situation, do not use this site. If your issue is an emergency, call 911 or go to your nearest emergency room.

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