Welcome to LifeStance Health!

We’re glad to have you and we can’t wait to get to know you better. Your photo and bio will be featured on our website as well as other online profiles that generate referrals. Feel free to skip any questions you’d prefer not to answer or expand further on points you think would be helpful for a client to know about you. You may also forward bios from previous positions to IL-Marketing@LifeStance.com. When your LifeStance bio is complete, you will receive a draft via e-mail and have the opportunity to edit before posting.

We also included additional fields and document upload requests needed to initiate the credentialing process and to add you to all of our insurance networks. Please provide this information as soon as possible.

We also require a profile photo using the LifeStance guidelines featured here. If you are unable to take a new photo using LifeStance guidelines, please upload a temporary photo until we are able to take a new photo that aligns with the others on our website.

If you have any questions, please contact IL-Marketing@LifeStance.com.

  • Drop files here or
    Accepted file types: pdf.
  • .
  • List your primary office and any other practice locations.
  • Drop files here or
    Accepted file types: pdf.
  • Drop files here or
    Accepted file types: pdf.
  • Drop files here or
    Accepted file types: pdf.
  • Must include the following: 1. All start/end dates formatted for all sections (mm/yyyy) 2. LifeStance Health added as current employer 3. Must list at least five years of employment history (or from date of licensure if less)
    Drop files here or
    Accepted file types: pdf.
  • List Name, Title/Role/Degree, Phone, Fax, and Email Address
  • List Name, Title/Role/Degree, Phone, Fax, and Email Address
  • List Name, Title/Role/Degree, Phone, Fax, and Email Address
  • Please see photo guidelines featured in the link above this form.
    Drop files here or
    Accepted file types: jpeg, png.