Waitlist — Boutique Therapy Practice Launchpad Name * First Name Last Name Email * Phone number: * (###) ### #### Are you currently: * Pre-licensed (Associate, intern, etc) Newly Licensed In Private Practice, Part-time In Private Practice, Full-time Still employed in agency or group setting Other (please explain below) What best describes your private practice goals? * (Select all that apply) I want to launch a private practice but feel overwhelmed or stuck I’m ready to go all-in and build a boutique-style practice I want more clarity around my niche, brand, or business model I want to reduce my caseload and increase income I want to align my work with my values, lifestyle, and well-being I’m seeking mentorship and a clear roadmap What’s the biggest challenge holding you back from launching or growing your boutique practice? * Anything else you want to share with us? How did you hear about us? Consent I agree to receive occasional updates, offers, and marketing emails from Career Harmony via email and SMS. I understand I can unsubscribe at any time. Thank you for taking the time to submit this form. Our office will be in touch with you promptly. If you have any questions, contact us at Knox@LuminCenter.com.