Space is limited to ensure reservation openings for all of our members.

Applying is easy

It takes just 3 minutes to apply and we can get back to you with an approval within 48 hours.
Have questions first? give us a call at 360-488-0406. Please note a credit card is required to apply and a $50 screening fee will be taken at the end of this form.

Treat Clients - That's it
We'll handle linen washing, after hours cleaning and filling the supplies. You just focus on your client and your business.
No Long-Term Contracts
We hope you'll stay because we provide an amazing value for your practice, but we'll never lock you into long-term contracts or ask for deposits.
Security Is Built In
We offer HIPAA compliant check in, coded front doors, locked treatment rooms, and cameras in public spaces. Everything is designed for you and your client's security.

What is your name?(Required)
First Last
What practice are you certified in?(Required)

Contact Information
What is the best number to contact you at?(Required)
What is your email address?(Required)

License Information
Do you have certificates to upload?

Yes

No
Does your practice type require state certification?

Yes

No
WA State License Number(Required)

Please upload any certificates you have for our review

Drop files here or

Max. file size: 256 MB, Max. files: 3.

Practice Information
Do you have registered business practice?(Required)

Yes

No

Yes, but not in Washington
What is your practice's name?

Please let us know the registered name of your practice If other than your name.
Does your practice have a website?(Required)

Yes

No
Your Practice's Website

Membership Level
Have you reviewed our membership levels and know which one is right for you? Please let us know. (see membership levels here).
Membership Level of Interest(Required)

New Practitioner - $45 mo. ($20 room rate)

Growth - $95 mo. ($20 room rate)

Established - $195 mo. ($12 room rate)

I'm not sure, I have a few questions.
New Practitioner Requirement(Required)
In order to qualify for the New Practitioner level you must be recently licensed in WA State within the past 90 days.
YES, I have only been licensed or certified to practice in the State of Washington within the past 90 days.

Background Check and Recurring Payment Information

In order to get signed up we need to run a quick background check. A one-time fee of $50 will be drafted today.
Upon approval and signature of the membership agreement, this card will be used for any monthly dues or room reservations placed in the future and based on the terms of the membership agreement. If you would like to change the card on file, you can replace it anytime with a new active card by giving us a call.
License and Background Screening

Price:

We take security seriously. This screening helps us ensure that you and your clients are in a safe and healthy environment.
Total

Billing Address(Required)
Street Address Address Line 2 City State ZIP Code

Credit Card

Consent
Acknowledge my permission to have a background check run on my credentials in the state of Washington.
In connection with my membership application with you, I understand that public record information may be requested to evaluate my application.
These reports may include the following types of information: names and dates of previous
employers, public records, credit data, bankruptcy proceedings, eviction and criminal records,
etc., from federal, state and other agencies which maintain such records. I hereby authorize
procurement of these reports. If approved as a member, this authorization shall remain on
file and shall serve as ongoing authorization for you to procure licensing and background checks at any time during my membership period.

Treat Clients - That's it
We'll handle linen washing, after hours cleaning and filling the supplies. You just focus on your client and your business.
No Long-Term Contracts
We hope you'll stay because we provide an amazing value for your practice, but we'll never lock you into long-term contracts or ask for deposits.
Security Is Built In
We offer HIPAA compliant check in, coded front doors, locked treatment rooms, and cameras in public spaces. Everything is designed for you and your client's security.

Applying is easy

Treat Clients - That's it

No Long-Term Contracts

Security Is Built In

Contact Information

License Information

Practice Information

Membership Level

Background Check and Recurring Payment Information

Treat Clients - That's it

No Long-Term Contracts

Security Is Built In

Interested in bringing your practice to WellSpace?

About our Practitioners

Considering Joining WellSpace?

WellSpace is Designed for

Member resources