NEW MEMBERS: There is no need to check the accuracy of your profile.
CURRENT MEMBERS: Check your profile page by visiting "My Account" to make sure your information is correct for publishing publicly. Once you have done this, return here.
There are 2 mandatory steps required before completing this registration form. Please note that you must be a current WMHCA member with a public profile to be listed in the registry.
- Download this form and sign and complete the form.
- Complete the online form below and upload the signed form into the field below, or mail the completed form to:
11410 NE 124th St.
Kirkland, WA 98034
Clinical Supervisors must meet requirements by the state of Washington, REVIEW REQUIREMENTS HERE