Provider Application

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

To become a provider:

Please have accreditation in one of the listed fields
View/attend a misophonia course or webinar from the Duke Misophonia and Regulation Program – view upcoming events/courses here.
If there are no events currently, please contact Dr. Jennifer Jo Brout at [email protected]
Attend the $25 continuing education course from Drexel, entitled “OL690 The Helper’s Guide to Understanding Misophonia“

Name*
First Last
Phone*
Email*
Professional Degrees
Where are you licensed to practice?*
State / Province / Region Country
Qualifications
Please Provide Your Biography
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.
Photo of Yourself
Please provide a photo for your listing.
Have you taken a qualifying course on misophonia?*
- Misophonia Webinar or Online Course provided by Duke University
- Drexel Misophonia Course
- No, I have not but I am willing
Please note, courses that are not listed are not eligible.

Misophonia Providers