Printable Applications: Mental & Allied Health

Allied Health & Techs: Individual Professionals

• Allied Health Professionals
• Allied Health Techs
• Allied Health & Allied Health Tech Students
• AANC Members
• NANP Members
• NCRA Members

Behavior Analysis: Individual Professionals

• Behavior Analysis Professionals
• Behavior Analysis Students
• APBA Members

Mental Health: Individual Professionals

• Mental Health Professionals (No Association/Association Not Listed)
• Mental Health Students
• AAMFT Members
• AAMFT Members (California Only)
• AMHCA Members
• CAMFT Members
• CSWA Members
• IAMFC Members
• Licensed Psychologists (PhD/Doctoral-Level)
• Limited Licensed/Masters Level Psychologist

(Also includes Licensed Educational Psychologist (LEP), Psychological Assistant/Associate, Psychological Examiner, and School Psychologist)

Nursing: Individual Professionals

• Nursing Professionals: LPN, LVN, Nurse Aide/Assistant, RN
• Nursing Professionals: Nurse Practitioner (NP) and Clinical Nurse Specialist (CNS)
• Nursing Students

Other Applications

• AKTA Members: Kinesiotherapists

Business Entity Malpractice Insurance Applications

• Full Application: Allied/Mental Health Business Entities, Group Practices, Corporations, or Nonprofits
• Request for Quote: Allied/Mental Health Business Entities, Group Practices, Corporations, or Nonprofits
• Full Application: Human Services Agency
• Full Application: Student Blanket Policy (for University Programs)