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AIMHC Application 2026

This application is for clinicians (therapists, counselors, psychologists, psychiatrists, social workers), as well as industry leaders, technologists, researchers, legal experts, and similar professionals who would like to join the AI Mental Health Collective. 

Click the button below to start.

Start

Question 1 of 23

Name

Question 2 of 23

Today's Date

Question 3 of 23

Your Professional Email

Question 4 of 23

Your Professional Title (e.g., Psychologist, LMFT, MD, LCSW, Founder, Researcher, etc)

Question 5 of 23

City of Residence

Question 6 of 23

State / Region of Residence

Question 7 of 23

Country of Residence

Question 8 of 23

Please share your LinkedIn profile and/or website

Question 9 of 23

What interests you about joining the AI Mental Health Collective?

Question 10 of 23

Are you currently a clinician (actively working with clients in some capacity)?

If not, please describe your experience and/or education relevant to the AI mental health space.

Clinician's Circle

The questions in this section are only for clinicians interested in participating in the Clinician's Circle specialty group within the AI Mental Health Collective. 

If you are not a clinician, please answer "N/A" to the questions in this section.

Question 12 of 23

License Number (include all: LPC, MD, LMFT, Psychologist, LCSW, etc.)

Question 13 of 23

State(s) or Country of Licensure

Question 14 of 23

Years in Practice

Question 15 of 23

Current Practice Setting

A

Private Practice (Solo)

B

Private Practice (Group)

C

Community Mental Health

D

Hospital/Medical Center

E

School or University Counseling Center

F

EAP

G

Other

H

N/A

Question 16 of 23

Demographic of clients you work with (e.g., adults, couples, children)

Question 17 of 23

Treatment Modalities / Approaches (e.g., psychodynamic, CBT, somatic, etc.)

 

Almost done!

The remaining questions are for everyone interested in joining the AI Mental Health Collective.

Question 19 of 23

How did you hear about the AI Mental Health Collective?

Question 20 of 23

If you are a builder in this space, are you looking for opportunities to share what you're working on?

Question 21 of 23

Any additional comments or questions?

Question 22 of 23

By writing my full name I attest that the information I have provided is true.

Last Step!

Please click the final SUBMIT button to ensure we receive your application.

We will be in touch within the next 1-3 business days.

 

Confirm and Submit