Provider Application

If you’re interested in becoming a Misophonia provider, please fill out an application. You will hear back shortly.

To Become a Level 1 Misophonia Provider please have the following:

  • accreditation in one of the listed fields
  • attend 1 Misophonia Webinar through www.misophoniawebinar.com. These webinars are hosted by Dr. Jennifer Jo Brout of the IMRN. Please attach proof of attendance to your submission.

Become a Provider

  • Add a row
  • This is necessary to add you to the map.
  • Provide your biography for your listing. Also include any websites, social media pages, etc that you'd like included. Please do not double space after periods.
  • Please provide a photo for your listing.
    Please note, courses that are not listed are not eligible.
  • Please ensure you are using the correct email that you signed up for the webinar with, as we need to confirm you attended.