PsychSurveys LLC

New Clinician Account - Free Trial

This sign up page is for clinicians. If you are a patient, tell your clinician about PsychSurveys - your clinician can create your patient account for you.

If you are a clinician, please complete the form below in order to create your account and to start your free trial. You'll have immediate access to our web site and mobile apps.


Salutation: First Name: Last Name:

Email Address: Verify Email Address:

Mobile Number: Country Code:
Your mobile number will be used only for two-factor authentication to protect your account from unauthorized access. An SMS message may be sent to your mobile device. Your mobile number will never be shared.

Choose a Password: Verify Password:

Type the following verification code into the box below: Do you have a promo code? If so, enter your code below: