Provider Sign Up

Independent Psychiatrists, Counselors, Therapists, Social Workers and Primary Care Physicians. Cloud 9’s behavioral health engagement application is designed specifically for you and your patients.

Quick Application

Please fill out this brief form to begin using Cloud 9’s mobile application with your patients and practice. 

GET ON CLOUD 9 HERE

Your First Name*

Your Last Name*

Email*

Website for your practice group, personal site, organizational center, or health system

Your website*

Practice Type?*

Provider Type* MDPhD/PsyDLMFT/MFCCLPCMA/MSLCSW/LSW/MSWBehavioral HealthPrimary CareOther

Provider Type (if "other" checked)

City*

State*

How did you hear about us?*