PsychScan

PsychScan

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Create your PsychScan Pro account

Name*
Email*

Practice Name*

example: Jane Smith, LCSW
example: Springfield Counseling

Subscription*
  Monthly
  Annual


Practice Website
This is the website clients return to after completing a PsychScan assessment

example: www.mywebsite.com
Your Profession*
Do you hold a current, valid license in your mental health profession?*


Contact information for Client Report

This information will appear on the Client Report so prospective clients can reach you

example:
Jane Smith, LCSW
1234 Main St.
Springfield, IL 12345
janesmith@mail.com
www.yourwebsite.com

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