Applicant Information
Please include a copy of your state mental health professional license indicating that you are legally allowed to independently provide clinical mental health services.
EPT/C Application
To upload documents, please put in a zipped folder prior to uploading.
By signing this application, I attest that information, statements and documents provided in this application are true and reflect my true experience, education and training.
I give permission for my name, credentials, state, and email address to be published on the experiential play therapy website.