Register for the Directory

All information is for a public listing, including the address field. If you don't have an address you'd like listed, please still include your city and state. Someone will be reaching out soon once you submit.

I am a: *

Licensed Therapist

Coach

Genetic Counselor

Attorney

First Name *

Last Name *

Credentials (LMFT, LCSW, LMHC, etc)

Organization

The name of your company, if applicable

Email *

Your public email for clients

Website

Your public website address

Address

Street Address

City

State

Country

Postal Code

Phone *

Your public phone number for clients

Your Bio *

Include your experience related to adoption, assisted reproduction, and NPE (non-paternal event) clients including your personal experience, if any, as part of the constellation.

State(s) You Are Licensed In

Please provide the states you are licensed in (if applicable) and include your license number(s)

Your Photo *

Upload your headshot for the directiory. This photo should be a minimum of 2″ x 2″ x 300 dpi

Have you take our Right to Know's MPE Aspects 101 Course? *

Yes

No

This course is available at www.MPE-Education.org

How many clients have you seen who were impacted by adoption, assisted reproduction, misattributed parentage, NPEs, or a DNA surprise?? *

none

1-5

6-10

more than 10

By checking this box, I understand I am providing only public information to be listed on the MP Counseling Directory. I am also agreeing to be added to the directory and to receive related emails. I understand I can unsubscribe at any time, and if I do, I will be removed from the directory.

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