This value will depend on your type of practice. If your practice has a name, or you are part of a
larger firm or practice, please list its name here. Otherwise, please list your name here.
All accepted practicitioners must be licensed to practice within the state of Florida. Your license number
will be verified before your application is accepted.
Select the primary campus(es) that your practice is located near and/or is equipped to serve. Do note that
most community members will use this to search for practices nearby, so please only select nearby campuses.
Sliding Scale/Student Rate
This option is mainly to assist our internal staff when making
specific referrals to the community.
If you do not see an insurance provider that you support listed,
please let us know! They can be easily added
at a late time to the system and to your application.
Please select a handful of specialties from the following specialty/interest areas. Note that the
fields selected will greatly impact the search results given to the community; please only select those
areas that are truly a specialty to your practice.
Selecting either option for this question will have no bearing on your standing within the search results.
The following is for the UCF Counseling Center only
and will not be posted publicly.
Please provide us with an email address that will become your
user name. Only authorized users
and staff will have access to this email address and
it will not be searchable.
If you already have an account in the
UCF CAPS Community Provider Database, reuse your current user name.
Please note that if pro bono services are provided, you can
attend Counseling Center professional development CEU
workshops free of charge for that academic year.
This image will be displayed next to your search result and in your
provider profile. It will be resized to a
small square thumbnail. Only JPG and PNG image types are accepted.