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Listing Update Form
Listing Update Form
Please fill out the form below if you currently have a profile on ManhattanAlternative.com and would like to make updates to your profile (please fill out only what you'd like updated).
Name (as you would like it to appear on the site) *
*
Degrees/Licenses/Certifications (must be directly associated with/in support of the profession you are listing)
If your license requires that you practice under supervision (e.g., LMSW), please indicate the name and email address of your supervisor for confirmation (only if this has changed):
Title (this will appear under your name on the main page; e.g., psychotherapist, psychologist, psychiatrist, etc)
Subtitle/Specialization (this will appear under your title on the main page; usually keywords indicating your areas of focus, specific populations, treatment approaches, etc; see other profiles on the main page for examples)—please note that this line has a maximum of about 32 characters including spaces
Phone (if you'd rather your phone number not appear on your profile, please include another form of contact in addition to your email, such as another url or social media handle)
Email
Website (must be to your web page, not a general practice page)
Facebook Page (optional)
LinkedIn Profile URL (optional)
If you accept insurance or have stopped accepting insurance, please list which insurance plans you'd like added or removed:
If you would like to update your bio, please enter 100 (minimum) to 125 (maximum) words here:
Upload Photo: Must be a minimum of 640x640 dpi, and maximum 64 MB file size. It's fine to submit photos larger than 640x640 (and up to 64 MB); they will be cropped and downsized to fit. Please do not submit photos with original dimensions smaller than 640x640, as they may be blurry/too pixelated.
Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 256 MB.
Please indicate the category filter(s) you would like to be included in (please select all currently applicable categories, not just new ones you're adding):
alternative healer
BDSM/kink
CNM/poly
currently accepting inquiries (e.g., wait lists, drop ins, letters, referrals)
currently accepting new clients
disability
disordered eating
GNC/trans
Health Care Providers
insurance (in-network)
LBG/queer/non-straight
pleasure-informed
POC-identified provider
psychiatrist
sex therapist
sex worker friendly
sliding scale
somatic
substance use/misuse
therapist
trainer/coach
trauma-informed
New listserv email (if you would like to update your listserv email, enter the new email here):
Remove listserv email (if you would like to remove your previous listserv email, enter it here):
Questions, comments, clarifications:
Consent
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Email
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