Become a member

Pathkeepers Membership Application

Thank you for your interest in joining Pathkeepers. Our community is dedicated to professional therapists who are keen on deepening their understanding
of Psychedelic-Assisted Therapy. Please complete the application form below to ensure that our platform remains a space for qualified professionals.

Personal Information

Full Name

Email Address

Professional Credentials

Current Title/Position

License Number

Issuing Organization/Authority

Years in Practice

Additional Information

Affiliated Institution/Organization

Website/LinkedIn Profile

Brief Description of Interest in PAT

Agreement

I hereby confirm that the information provided is accurate and truthful. I understand that my application will undergo a review process, and I may be asked to provide additional verification of my professional credentials.

I agree to the terms and conditions of Pathkeepers.