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Jo Frederic, Founder
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Wondering if a Mobile Psychotherapy Services private
practice is right for you?
Mobile Psychotherapy Services Potential Practitioner Screening Tool
Name
*
Last Name
*
Email Address
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I value older adults and enjoy interacting with them.
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Yes
No
I'm aware that in older adults symptoms of depression and anxiety are often mistaken for other health conditions.
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Yes
No
I'm aware that anti-depressant medicines are the second most prescribed in the nation.
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Yes
No
I'm knowledgable, skilled and experienced working with older adults who have some cognitive impairment.
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Yes
No
I'm knowledgable and comfortable talking about end-of-life issues.
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Yes
No
I'm in very good physical, emotional and mental health.
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Yes
No
I'm highly self-motivated and can work autonomously.
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Yes
No
I'm a very good team player and comfortable working in conjunction with other professionals.
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Yes
No
I prefer to set my own hours.
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Yes
No
I prefer private practice to agency, facility and/or hospital work.
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Yes
No
I'm adept at billing and bookkeeping.
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Yes
No
I possess a sense of urgency.
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Yes
No
I'm very competent at follow-up and follow-through.
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Yes
No
My current personal and professional goals include:
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I can successfully operate and manage a Mobile Psychotherapy Services private practice because:
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This MPS opportunity will help me reach my goals because:
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My preferred MPS neighborhood includes these cities:
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I can provide three personal and professional references.
*
Yes
No
In addition I want to say
*
Please upload your resume (PDF format only).
*
Drop a file here or click to upload
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Maximum upload size: 2.1MB
Email Address
*
Phone Number
*
Practitioner Self Assessment
Investment Requirement
