Provider Application Form

Currently, only providers with intersectionally marginalized identities are being considered.

If you are a licensed, sex positive, and all gender and lifestyle affirming clinician, physical or mental health provider, or wellness provider, and your practice is in New York City, please fill out the form below to be considered for a listing on
  • Please note: There is currently a waiting list that is constantly being reordered to move POC and people with multiply intersecting identities to the top. Listing priority is also given to those who know personally and are referred by an existing provider, and who have multiple personal connections to the communities we serve. Finally, because I maintain this website myself as a labor of love, I sometimes have to put listing additions on the back burner altogether due to other obligations. Timing for publishing new listings can vary widely, from the same day to several weeks or longer. I try to respond to every inquiry and follow up email but I am not always able to; please don't take it personally.
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