Provider Application

Welcome to Trusst.
We’ll take you through the application step by step.

In order to become a provider with Trusst, you will need to fill out and submit the full application. Have your necessary documents ready. We know it’s a long form, so we’ll save your work for you as you go.

Document Checklist

  1. Professional headshot
  2. Copies of all relevant professional license(s)
  3. Proof of malpractice insurance (coverage up to $1,000,000 required)
  4. Completed W-9 form with signatures (Trusst clinicians are treated as independent contractors). You can download the document here.

Once your application is submitted, you’ll receive a confirmation email. Trusst will review your application and get back to you within 5 days.

Before proceeding with the application please ensure you meet the following criteria:

  • Current and valid independent clinical license to provide counseling in one or more U.S. jurisdictions (i.e., LCSW, LMFT, LMHC, LPC, PhD, or PsyD)
  • Minimum of 3 years and 2,000 hours of direct clinical experience
  • Individual NPI number
  • Professional malpractice liability insurance policy (not provided by Trusst) insuring coverage limits of $1,000,000/$3,000,000
  • Confirmation that your insurance provides coverage for telemedicine services and does not have any exclusions for delivery of services through written communications
  • Access to a computer/tablet/smartphone and a reliable internet connection or wireless coverage
  • Agreement to participate in an introductory orientation/training session
  • Availability to respond to your clients via the text-based platform within 24-hours, Monday-Friday

If you are in a life threatening situation do not use this site.
Call 911 to get immediate help.