Clinician Application

Address

335 1st St Ste C Neenah, WI 54956

Telephone 920 306 2204 (texts too!)

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We’re excited you’re interested in joining our community of affirming, grounded, and deeply authentic therapists. This application is open to independently licensed clinicians in Washington (virtual) or Wisconsin (hybrid).

If you’re a values-driven therapist who’s passionate about showing up authentically, holding space for marginalized identities, and building a practice rooted in compassion, we’d love to hear from you. At Therapy & Tattoos, we celebrate individuality—whether that shows up in your clinical style, your body art, or the communities you serve. If you’re ready to do meaningful work in a space that honors both professionalism and realness, apply to join our team.

First and Last Name [Legal]

Preferred first name

Pronouns

Date

Email address

Phone Number

City & State of Residence

License Type & Credential (e.g., LMHC, LPC, LCSW, etc.)

Is this license billable by Wisconsin Insurance Companies?

State(s) Licensed In:

License Number(s):

Tell Us About You

1. What drew you to Therapy & Tattoos, LLC? (We want to know what resonates with you—our values, style, community, etc.)

2. Describe your clinical areas of focus and populations you love working with. (Ex: trauma, LGBTQIA+, neurodivergent folks, teens, trauma, post-incarceration, kink/poly-affirming, etc.)

3. How do your values show up in your work with clients?

4. What’s your vibe as a therapist? (No need to be formal. We welcome your realness.)

Clinical Style & Approach

5. Do you provide telehealth, in-person, or hybrid services?

Telehealth

In person (location)

Hybrid

6. What modalities or approaches do you tend to use in session? (Ex: EMDR, somatic work, DBT, narrative therapy, parts work, etc.)

Alignment & Identity

7. Therapy & Tattoos affirms LGBTQIA+, BIPOC, neurodivergent, and alternative communities. What’s your experience working with or being part of these communities?

8. Are there specific identities or experiences you feel especially skilled or aligned in holding space for?

Practical Things

9. What type of position are you seeking?

Part Time [Min 10 hours/wk]

Mid Time [Min 18 hours/wk]

Full Time [Min 25 hours/wk]

10. When would you be available to start?

11. Do you carry your own malpractice insurance?

Yes No, but willing to obtain

12. Have you worked with TherapyNotes before?

Yes No, but willing to learn

Attachments

Please include the following:

Your resume or CV
A short cover letter (optional but encouraged!)
Any licenses relevant to your clinical work (Certifications too)

Resume or CV

Add file

Please upload a file

Cover Letter

Add file

Please upload a file

Licenses or Certifications

Add file

Please upload a file

Final Question

Is there anything else you’d like us to know about you, your story, or what you’re looking for in a practice?

📬 Submit your application:

Questions Email: TherapyandTattoos@therapysecure.com / Subject Line: Clinical Application

By clicking "Submit," I affirm that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any misrepresentation or omission may be grounds for disqualification or future termination if hired. I authorize Therapy & Tattoos, LLC to verify my professional licensure and credentials, and understand that a background check may be required as part of the onboarding process. All submitted materials will be treated confidentially and used solely for hiring purposes.

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