Practitioner Application

Purpose

To ensure alignment with Enliven Collective’s philosophy, ethics, and collaborative culture.

Basic Information

First Name *

Last Name *

Phone *

Email *

Business Name

Primary Modality

Credentials

Years in Practice

Website

Alignment Questions

Why are you interested in joining Enliven Collective?

How does your work support at least one side of the Health Triangle (Food, Movement, Sleep)?

How do you define client‑centered care?

Describe a time you collaborated with another practitioner. What worked well?

What does integrity in referrals mean to you?

Logistics & Commitment

Are you currently seeing private clients?

Yes

Are you open to shared programs or workshops?

Yes

Preferred Involvement:

Referral partner

Program Collaborator

Member Practitioner

What do you believe clients need more of in today’s wellness landscape?

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others from Enliven Collective at the phone number provided. Frequency may vary.