Marin Perinatal Therapy Resource Directory Provider Form

Marin Perinatal Resource Directory Provider Form

We appreciate your interest in joining the Marin Perinatal Therapy Resource Directory. We are inclusive of perinatal health and education providers from Marin and surrounding areas. If you provide direct in person services in Marin County for infertility, pregnancy, postpartum, pregnancy loss, adoption, infants, children or parenting please submit your contact information so that we can include you on our next list. The directory is updated annually.

Please note that your listing in the resource directory does not constitute an endorsement or recommendation by Marin Perinatal Therapy.

Please complete the information below to be included in the Resource Directory.
Name*

First NameLast Name
Credentials*
(Ex. LMFT, Ph.D., CNM, etc...)
Phone Number*

Area CodePhone Number
Email*
example@example.com
Website
Work Street Address (only your City will be published)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
2nd Work Street Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Other languages spoken
Insurance
Support Groups offered with brief description

0/25
Workshops offered with brief description

0/25
Perinatal focused specialty (pregnancy, postpartum, pregnancy loss): *

0/25
Which category would you like to be listed in? *

Chiropractic Care and BodyworkClasses and WorkshopsDoulasExercise and FitnessPhysical TherapyMidwivesParent CoachingLactation SpecialistsCareer CounselingPsychiatristsCrisis / Respite CareSleep ConsultantOB/GYNs / Medical ProviderYearly Events / MemorialsPsychotherapy ServicesSupport GroupsAcupunctureNatural MedicineOther
I provide direct services in Marin County. Please note if you do not have a physical location (or offer home visits) in Marin we will not be able to add you to the Directory but you are welcome to join our listserv.*

YesNo
In return for being listed in the Marin Perinatal Resource Directory we request that you link to the Directory from your practice website. The link to include is: https://www.marinperinataltherapy.com/additional-resources and the preferred wording on your site is: “Click here for the Marin Perinatal Resource Directory.” This request will become a requirement in 2026.
I agree to be added to the Directory and will link the Directory to my professional website and email support@marinperinataltherapy.com when complete.*

Yes
I would like to join the listserv, a private group email to connect with other perinatal professionals.*

YesNo
Should be Empty: