Join Rumi Mind Health as an Independent Provider
This is not a traditional job application. By completing this form, you are expressing interest in working with Rumi Mind Health through our Management Services Organization (MSO). We partner with independent clinicians and professionals, providing the infrastructure and support you need to focus on patient care while we handle the rest.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Role of interest
*
Psychiatrist (e.g. MD, DO)
Psychiatric Nurse Practitioner
Psychologist (PhD / PsycD)
Therapist (LCSW, LPC, LMFT, LMSW, Art Therapist, etc.)
Nutritionist
Occupational Therapist
Other
License(s) held (include state and date first licensed, as applicable)
Years of experience
Current or most recent role
Area(s) of interest (e.g. age group, diagnosis, treatment approach, treatment setting)
Do you plan to accept insurance for your services?
Yes, all insurances
Yes, some insurances
No
What draws you to Rumi Mind Health?
When would you be available to start? (Estimated if exact date unknown)
-
Month
-
Day
Year
Date
Please upload your most updated resume
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Please provide links to your professional profile on social media, if any: (e.g. LinkedIn)
Any additional comments?
Please verify that you are human
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Acknowledgement
By submitting this form, I agree that the information provided is accurate to the best of my knowledge, and may be used as deemed appropriate by Rumi Mind Health Inc. to evaluate my candidacy.
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