Operation Comfort - find a therapist

Dear Mental Health Professional,

It is our intention to make every effort to be inclusive and welcoming to all interested clinicians. We believe that the best way to ensure quality of service is for our membership to be licensed mental health care practitioners with malpractice insurance. At this time, we will be posting individuals who are licensed in good standing as Marriage and Family Therapists, Social Workers, Licensed Professional Counselors, and Psychologists. For registered interns, if your primary supervisor is willing to register as a provider on our network, then, of course, you may continue to see clients under his/her license.

Please fill out the following form and it will posted within 24 hours.

* = required fields

select title:

*first name: *last name:

degree:

street address:

city: zip:

work telephone number:

Please include a personal contact number and a personal e-mail address. You personal information will not be made public and it will only be used for the purposes of Operation Comfort contacting you.

personal telephone number:

email:
this e-mail address may be be posted to the website
this e-mail address will remain private

license type:

*license number:

please list all languages you speak:

hours of availability:

Please list the day(s) and times that you will be providing service. (For example: Monday – Friday, 8:00 a.m. – 10:00 a.m.; Saturday/Sunday 1:00 p.m. – 3:00 p.m.):

Would you prefer drop-ins or would you like people to make appointments (check the appropriate boxes):

drop-ins appointments either

Please indicate your area of specialty/interest and/or the service that you will be providing (for example: group, individual, marriage counseling, children, grief counseling, etc...

additional comments or information:

I agree to Operation Comfort's conditions (condition statement).