Welcome to the SonderMind Membership Application
Whether you are still exploring a membership with SonderMind as an option or are ready to officially join, we encourage you to complete this form.
Begin
 
Full Name: *

Please include your first and last name
 
Contact Phone Number: *

 
What are your credentials? *

 
How did you hear about SonderMind? *


 
Who was the current SonderMind Member who referred you?

 
Why SonderMind? *

 
Which SonderMind location are you exploring? *


 
Are you looking to rent space by the hour or lease a private office?


 
What can we do to best support your journey in private practice? *


 
Current number of clients seen weekly in a private practice setting? *


 
Desired number of clients seen weekly in a private practice setting? *


 
What date would like to join us? *

This is the date that you would like your membership to become active with SonderMind. If interested in getting credentialed with our insurance and EAP contracts, you must first have an active membership.
 
Now that we know a bit about you, here's a bit about us:


 
Now that we know a bit about you, here's a bit about us:


 
All memberships are month-to-month and can be activated any day of the month. 

If after activating your membership you change your mind then we're happy to refund 100% of your initial payment of $200 if done so within the first 30 days. *

If joining our provider network for insurance and EAP credentialing, the process will start after a membership becomes activated.

 
Here is a bit more details about our pricing: All memberships are month-to-month. To get started all members pay a one-time application fee of $150 and a membership fee for their first month.  This initial payment is 100% refundable if you change your mind within the first 30 days. The different membership levels and hourly fees (relative to location) for each are as follows: *

Basic         $50 per month     +   $18 to $20 per hour
Bronze      $80 per month     +   $12 to $14 per hour
Silver         $120 per month   +   $10 to $12 per hour
Gold           $160 per month   +   $8 to $10 per hour
Platinum  $200 per month   +   $4.50 to $6.50 per hour

Unless you have clients already lined up, the most logical place to start is with the basic level membership which is how we arrive at $200 as your first payment.

 
We provide credentialing into our group insurance and EAP contracts. The process consists of two distinct steps - each with its own separate agreement.  The first one simply contains the details of joining the network.  Once completed, you can then review all of the insurance and EAP contracts we have and the corresponding reimbursement rates - but are NOT obligated to join any of them.

( Rates range from $28 to $75 per hour - depending on the contract(s) you qualify for and opt in to. )

 
Would you like to come in for a tour or jump on a quick call?


 
Unless exempt, in order to practice in the state of Colorado you must be registered or licensed with DORA.  For those who are in process or plan to complete this in the near future, you can still complete an application and become a member but you must agree that you will complete registration/licensure (including candidacy) before seeing any clients:

"I understand that I must be registered or fully licensed in the state of Colorado before seeing any clients."


 
Great, we can take payment for your one time application fee plus your first month of membership right now!  Remember, this payment is 100% refundable if you change your mind in the next 30 days. *

 
Please enter your Credit or Debit Card number: *

 
The CVC number: *

(3 or 4 digit security number on the back of your card)
 
The name on your card: *

 
Your card's expiry month: *


 
Your card's expiry year: *


Thank you for completing this form.

We will follow up after a quick review of your submission.
Please be on the look out for an email shortly.
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