Founding Partner application | Holistic University

Your practice and map profile

Practice or clinic name

Practice address (used for map placement)

Service format

In-person only Virtual / telehealth only Both

Direct booking link

Core modalities or disciplines

Top three areas you support

Years in active practice

What makes your approach distinct?

What can a new client expect in their first session?

Initial session price or range

60-second introduction

What tangible change do clients thank you for most?

Professional details and insurance

Insurance status Insured: I maintain active professional liability or malpractice insurance for my practice. Uninsured or non-clinical: My services are non-medical or educational, and I accept individual liability for my client work.

I confirm that I hold the active credentials required to practice my stated modalities in my jurisdiction.

Digital signature

Date

Your teaching idea

What would you like to teach?

Preferred format

Current course status

Idea only Outline ready Recorded Currently taught

Could you teach one live class each week?

Yes No Open to discussing

Sample lesson, talk, article, or video

Tell us about the audience you already reach

Tell us how you want to partner.

Application received