Openly.Provider Application
Founding Members

Become a Founding Provider

Join early and help shape the future of women's sexual health and wellbeing.

Founding Providers are free. Help us build the go-to directory for women's sexual health.

Profile Photo optional

Click to upload your headshot

JPG or PNG · max 5MB

Basic Information
Search languages…
Search states…

Select all that apply. Your selections will personalize the rest of the form.

Search and select your role(s)…
Practice Details
Areas of Focus required, at least one

Select all conditions, symptoms, and concerns you work with. Search or browse by category.

Search conditions, symptoms, concerns…

Select the communities and populations you serve.

Search populations…
About You

Share your background, training, specialties, and what makes your approach unique.

0 / 100 to 200 words

Share your approach to care and what patients can expect when working with you.

0 / 100 to 200 words

Select the modalities and approaches you use.

Search treatment approaches…
Professional Verification *

Add your license(s). Coaches and doulas may skip this section.

Training & Credentials optional

Add degrees, certifications, fellowships, and training programs.

Examples: DPT, Columbia University · AASECT Sex Therapy Certification · Certified Menopause Practitioner · DONA Certified Doula

Directory Preview optional

These fields create a patient-friendly snapshot of your profile in the directory.

One sentence describing what you do and who you help.

List the top things patients seek you out for, these appear prominently on your profile.

Describe who your ideal patient is in 1 to 2 sentences.

How Did You Hear About Us? optional

This helps us understand how providers find Openly.

Anything We Missed? optional

Is there anything else you'd like patients to know about you, your practice, your approach, or the communities you serve?

Profile Preview

Updates live as you fill in the form. This is how your profile will appear to patients.

Start filling in your name and role above to see your card preview.

Preview only, your profile will be reviewed before going live

What's included
Searchable profile in the women's health directory
Provider-only referral network & board
Post in the community as yourself or anonymously
Speaking & media opportunities

Fields marked * are required. We review every application personally.