top of page
HOME  /  BOOK  /  

Push to call 911 or go to your nearest emergency room

Join the Viveyo team.

Introduce Yourself

The name you prefer to be called

Used for secure follow-up and scheduling.

Only used for communication related to scheduling.

Preferred Method of Contact Required

1. Basic Info

  • Full Name

  • Preferred Pronouns

  • Email

  • Phone

  • Website or Professional Profile (if available)

  • Professional License(s) and State(s)

​

2. Professional Focus

  • What type of care do you provide? (e.g., mental health therapy, massage therapy, chiropractic care, etc.)

  • Are you currently in private practice? If so, for how long?

  • What client populations do you most often serve?

​

3. Values & Alignment

  • Why are you interested in joining a wellness co-op like Viveyo?

  • What does “whole-person care” mean to you in your practice?

  • How do you currently collaborate (or hope to collaborate) with other providers?

​

4. Logistics & Readiness

  • What kind of space or schedule are you looking for? (e.g., part-time, full-time, evenings only)

  • Are you looking to move an existing practice or start something new?

  • What is your desired timeline for joining?

​

5. Optional: Let’s Get to Know You

  • What’s something clients or colleagues appreciate most about working with you?

  • Is there anything else you’d like us to know?

Thank you!

bottom of page