01 · Contact & credentials

Tell us about yourself.

Full Name *

Email Address *

Phone Number *

Province / State of Licensure *

Professional Designation *

Psychologist Psychotherapist Social Worker Psychological Associate Qualifying Therapist Other

License / Registration Number (if applicable)

Years working with clients *

0–2 Years 3–5 Years 6–10 Years 10+ Years

Post-graduate training & certifications

e.g. EFT, EMDR, CBT-T, gottman, IFS — list what you've completed or are working toward.

Languages you offer therapy in *

02 · Practice & specialty

How you work today.

03 · Final steps

Materials & signature.

Upload CV *

Click to upload your CV

PDF, DOC, or DOCX · max 5 MB

Commitment *

"Integrated Wellness's platform requires a minimum commitment of 10 dedicated client hours per week. By proceeding with this application, I confirm my ability to meet this commitment if hired."

I understand and confirm the 10-hour weekly commitment

Signature *

By signing below, I confirm the information provided is accurate to the best of my knowledge, and I consent to Dr. Tracy Dalgleish and Integrated Wellness reviewing my application.

Draw Type

Application received

Thank you, .

Your application has been received. Dr. Tracy personally reviews every submission and will reach out if there's a fit.

A confirmation has been sent to your email address.

Apply to join the practice.

Tell us about yourself.

How you work today.

Materials & signature.

Thank you, .