Please fill out the form below.
Each section has a description of what it needs, BELOW each section. Scroll down if you get stuck for description info. 
For the listing title please put your name, company name, then Credentials.  
Example: Jennifer Jones -DPT, Doctors For Dancers
Please upload images of 900px wide or smaller.
If you are having trouble filling out this form please click the button at the bottom of the page called Alternative Submission or you may contact us by email at listings@doctorsfordancers.com or by phone/text at 818-918-1832.

Listing title*

Bio*

This is for you to introduce yourself and describe your services and how they specialized to dancers. The first 40 words will be displayed before the dancer clicks on the listing so make it count. Please do not highlight, bold or make words all caps.

Summary

Please leave blank this section is for administration

Categories*

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Please check on all of the categories you specialize in. You may check as many as you would like. We have an option for online and we come to you. Online means you offer your services online/web/teledoc and we come to you means you are willing to travel. Please make sure you have the proper Licenses/Credentials for the categories you select.

Listing Tags (select existing or type new)

Contact Information

Example: 480-555-5555 If you have multiple locations and phone numbers- please specify which phone number goes with which location. Example: Office/Mobile or Location A/Location B

Example: connect@doctorsfordancers.com Please use all lowercase letters.

Please keep URL all lower case as capital letters will not allow the link to work. Please ignore the link text as that is only for administration. If you have multiple websites please put down your main one and your others will need to be put into your bio.

Social Media

Example- @doctorsfordancers

Example @doctorsfordancers

Content fields may be dependent on selected categories

We encourage everyone to offer a special to the dance community. This is your chance to offer a discount on your services or a great first time initial visit if they mention they found you on Doctors For Dancers. If you do not wish to provide a special offer, please put- call for available discounts .

Please specify which insurance companies you take, if you don't accept insurance, you may say none or cash payments only.

Please list the days and times you are open for business. If you have a schedule that changes often, you may say "check website."

Listing Media

Attach images

Drop here

Attach videos

Listing locations*

Add Country
Select marker icon (icon and color may depend on selected categories)

Alternative Submission