Please fill out this form to register for annual membership. If you have any questions, please contact Dawn Breikss by email. All fields with an asterisk (*) are required. Once you have completed the registration, go ahead and click "Submit," then you will be able to pay via Credit Card using Paypal, if that is the payment method you wish to use. Thank you and we look forward to seeing you at our events!
Professional: State-licensed Mental Health Counselors, Marriage & Family Therapists, Clinical Social Workers, Psychologists, Psychiatrists, Psychiatric Nurses or Nurse Practitioners.
Associate: Licensure Candidates, Certified Counselors/Advisers, state-qualified Chemical Dependency Counselor; or any professional who works in a mental health related business or program.
Student/Retired: Any graduate student pursuing a Master’s or Doctoral degree in any mental health field or any retired mental health professional.
Group: Any employer, clinic, agency, or institution, either private or public with a minimum of three (3) providers who provide direct mental health services. Members have the same privileges as members from the other categories.