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Collective Wellness Practitioner Information Form

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Enter your phone number Enter a valid number like +1555-123-4567
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Collective Wellness Practitioner Information Form

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Section 2: Services & Retail

Section 1: Basic Business Information

Section 3: Booking & Client Experience

Do you accept insurance?
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Collective Wellness Practitioner Information Form

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Collective Wellness Practitioner Information Form

Section 4: About Your Business

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Section 5: Credentials & Compliance

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Collective Wellness Practitioner Information Form

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Section 6: Media Submission

If you don't have access to these files at the moment or need to submit a video file larger than 200mb, please email files to megan@harperedit.com at your earliest convenience.

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(For Large video files, SEE INSTRUCTIONS below)

Collective Wellness Practitioner Information Form

Please Upload The Following Files, If You Have Them:

  • Professional Headshot (High-Resolution Preferred)
  • 2-5 Photos of Your Work, Treatment Room, or Branding Images
  • Business Logo (If Applicable)

Section 8: Agreement & Authorization

By submitting this form, I confirm that the information provided is accurate to the best of my knowledge and that I have the authority to share this content on behalf of my business.


I grant Collective Wellness and The Harper Edit permission to:


  • Use submitted images, video, logos, and business details on the Collective Wellness website.
  • Lightly edit my written responses for clarity, formatting, and search optimization purposes, without altering the core meaning of my statements.
  • Feature my business, submitted media, and related information in future Collective Wellness marketing materials, including digital and print promotions.

I understand that I may request updates or removal of my materials in writing at any time.

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Section 7: Opt-In to The Harper Edit Newsletter (Optional)

Does digital marketing leave you feeling overwhelmed and pulled in too many directions?



I periodically send practical, straightforward insights on website strategy, local visibility, and client conversion with a focus on locally owned, service-based businesses.

Check below if you’d like to receive practical marketing insights and website guidance.
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Collective Wellness Practitioner Information Form

Hello!

Thank you for taking the time to complete this form. My name is Megan McDowell-Cooper, and I'm working with Jo and Jacki to update and build out the Collective Wellness website. The information you provide here will allow us to accurately represent your business, which will help you to receive qualified inquiries from potential clients.


Your responses will be used to build your practitioner listing, place you in the appropriate service categories, and accurately communicate what you offer and how clients can book with you.


Clear service descriptions, credentials, and booking details help us:


  • Improve your discoverability in local search results
  • Place you within the correct service categories
  • Strengthen credibility with prospective clients
  • Reduce the kind of confusion that can prevent bookings

The more specific and complete your responses, the stronger your online presence will be, and the easier it will be for potential clients to choose you. If you encounter a question or prompt that does not apply, simply indicate “N/A.”


If you have any questions or if you're interested in having a website created or updated for your business, please feel free to reach out anytime via call or text at (843) 619-9200 or by email at megan@harperedit.com.


Thank you for your cooperation! We're looking forward to showcasing your work.



Sincerely,


Megan McDowell-Cooper

Founder & Creative Director

The Harper Edit


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