Join Zoi15 | Practice on Your Terms

Step 1 of 5

20%

Join the Zoi15 Therapist Waitlist

We're excited to learn more about you. This application takes about 5 minutes to complete. We review all applications carefully and will reach out within 2 weeks.

Name

First Name

Last Name

Email Address *

Phone Number *

State *

Zip / Postal Code *

Professional Credentials

If you have multiple licenses, just choose one—you'll be able to add more later.

License Type *

License Number *

Licensed State *

License Issue Date

Date

Is your License currently active and in good standing? *

Clinical Experience

Years of Licensed Experience *

Areas of Experience

Anxiety

Trauma

Addiction

Eating Disorders

Depression

Relationships

ADHD

Grief

Other areas of experience

Current Practice

Do you have malpractice insurance? *

Practice Setting *

What interests you about Zoi15?

Flexible scheduling

Reduced administrative burden

Connecting with motivated clients

Offering shorter session options

Building a supplemental income stream

Building a full practice

Working remotely

When do you anticipate being able to start? *

Date *

Almost there!

How did you hear about Zoi15? *

Is there anything else you'd like us to know about your interest in joining Zoi15?

Provider Agreement

Licennse *

I confirm that I am currently licensed and that my license is in good standing with my licensing board.

Waitlist *

I understand this is a waitlist application and that Zoi15 will launch in Spring 2026, starting in Texas.

Newsletter

I'd like to receive updates about Zoi15's launch and opportunities for therapists.