Red items are required.			Frequently Asked Questions:
First Name					Who lists on PTOP? Mental Health Providers What does it cost to be listed? PTOP is free. Why should I register? Your colleagues can easily reach you, greatly facilitating referrals. Your practice can grow. You receive a private account where you may personalize your professional information, such as acceptable insurance plans, office hours and more. PTOP is ad-free. How do I register? Complete this form. We will email your login name and password to you. Then log in at ptophelp.org to enter your professional information.
Middle
Last
Suffix
Office Phone
Email
Practice Name
Street Address
City State Zip
Discipline(s)		Select a discipline Administrator Advanced Practice Registered Nurse Approved Consultant in Clinical Hypnosis Associate Polarity Practitioner Certified Alcohol & Drug Abuse Counselor Certified Compulsive Gambling Counselor Child Psychiatrist Child Psychologist Clinical Mental Health Counselor Dance-Movement Therapy Geriatric Care Manager Intake Coordinator Intensive Family-Based Services Counselor Licensed Acupuncturist Licensed Alcohol & Drug Abuse Counselor Licensed Clinical Social Worker Licensed Marriage and Family Therapist Licensed Mental Health Counselor Licensed Psychologist- Doctorate Licensed Psychologist- Master Licensed School Counselor Licensed Social Worker Master's Level Social Worker Masters Level Counselor NonLicensed NonCertified Counselor NonLicensed NonCertified Psychotherapist NonLicensed Psychologist - Doctorate Nurse Practitioner Physician Practice Manager Program Coordinator Psychiatrist Psychopharmacology Registered Nurse School Guidance Counselor School Nurse School Psychologist Student Assistance Counselor Substance Abuse Professional (SAP) Tobacco Treatment Specialist Other Discipline:
Send My Login		to the email above.  call me.   mail it to me.
Message		Type any notes to us here.