Healer Contact Information

Please fill out required fields and indicate N/A if the information asked is not available.
Contact Information
Your Title:
Specialization:*
Name of Healer Business*
Name*

First NameLast Name
Email*
Phone number *

Country CodeArea CodePhone Number
Healing Types/ Modalities: *
Website link: Put N/A for not applicable*
Facebook link :Put N/A for not applicable*
Instagram link :Put N/A for not applicable*
Twitter link :Put N/A for not applicable
Business Address:
Is this the same address where the healer business provides its healer services.
Does the business currently have general liability and/or insurance
Are you interested in being recommended by Healerverse for exclusive opportunities , events, retreats and more? We will contact you when applicable opportunities arise. I am interested in opportunities in my field on the following geographic locations: Check the following or leave blank.

LocalDomesticGlobally (must have valid / current passport)
Additional information for consideration
Copies of any licenses you hold if you are legally licensed practitioner and any certifications

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Professional Profile Photo/Headshot*

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Profile Bio:*

Subscription Tier Plans*

Healerverse Subscription (Annual) Product Image

Healerverse Subscription (Annual)unlock unlimited course sales & being featured on Healerverse Healer Page. Automatically added to Telehealth pre-launch. ($284 savings.)

$444.00 for each year

Healerverse Subscription (Monthly) Product Image

Healerverse Subscription (Monthly)unlock unlimited course sales & being featured on Healerverse Healer Page

$44.00 for each month

Lifetime Healerverse Healer + Pre-Reservation for Telehealth, Unlimited Course Sales, Featured on Healerverse Healer Page + Get your article published by Healerverse MediaOne-time fee & VIP special for a limited time.

$2,000.00 for the first month then,$ Free for each month

One Time Verification & Pre-reservation for upcoming tele-health launch. Coming 2025. Product Image

One Time Verification & Pre-reservation for upcoming tele-health launch. Coming 2025. One-Time fee for a limited time. Get pre-approved to be on our telehealth and appointment booking platform. Coming 2025! (Does not include subscription to sell unlimited courses and be featured on our current Healerverse Practitioners Page)

$200.00 for the first month then,$ Free for each month

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Referred By
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Please fill out required fields and indicate N/A if the information asked is not available.

Contact Information