JOIN REFERRAL LIST

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If you are an Art Therapist and would like to be listed on NMATA's Find a Therapist list on this website, please fill out the form below and mail it to NMATA with payment. Please be as thorough as possible.

If you would like to list a link of your services/website to NMATA, please refer to the Links page.  

Enter the date:

-- mm/dd/yy

Please provide the following contact information:

First Name
Last Name
Middle Initial
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
Web Site

Your Qualifications?

Select any of the following options that apply:

Adults
Children
Adolescents
Geriatric

Select any of the following options that apply:

Individual
Couples
Family
Step Family

Select any of the following options that apply:

Substance Abuse
Physical/Emotional/Sexual Abuse
Depression
Mental Illness
Developmental Delays
Trauma
Anxiety

Operating Hours:

Charges/ Insurance Accepted:

Other Comments:

 
**To print this form using the Print Button in your browser. 
Every first-time listing is posted for two months compliments of NMATA; after these two months, the fee is $50.00 for 12 months, beginning from the time payment is received. Your fee for this advertising service helps defray the cost of operating our website. Please include your payment with the completed form and send to:  
New Mexico Art Therapy Association (NMATA)
University Station
P.O. Box 40686
Albuquerque, NM 87196-0686

 

Home    Ethics    NM Licensure    Board Members    Articles    Events    

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Copyright © 1999 [New Mexico Art Therapy Association]. All rights reserved.
Revised: February 17, 2004