Interoceptive Alexithymia Affiliate Application Form

Become an Affiliate Partner for Interoceptive Alexithymia Training

Are you a mental health professional, therapist, wellness coach, or healthcare provider passionate about helping clients reconnect with their body signals? Our Interoceptive Alexithymia Affiliate Program is designed for practitioners who want to share evidence-based body awareness training with their communities while earning competitive commissions.

What is Interoceptive Alexithymia?

Interoceptive alexithymia refers to difficulty identifying and describing internal bodily sensations—from hunger and fullness cues to emotional-physical connections. This specialized training program helps individuals develop body signal awareness, recognize hunger/fullness patterns, and understand the intersection between emotional regulation and physical sensations, particularly as it relates to eating disorders and disordered eating patterns.

Why Partner With Us?

Our affiliate program is built specifically for professionals in mental health, nutrition, coaching, and wellness who work with clients experiencing:

• Difficulty recognizing hunger and satiety cues
• Disconnection from bodily sensations
• Eating disorders or disordered eating patterns
• Emotional dysregulation affecting physical wellbeing
• Interoceptive awareness challenges

As an affiliate, you'll gain access to:

• Competitive commission structure on all referrals
• Professional marketing materials designed for clinical and wellness settings
• Ongoing training on interoceptive awareness research and applications
• Dedicated affiliate support from our clinical team
• Early access to new program modules and resources

Who Should Apply?

Our ideal affiliate partners include:

• Licensed therapists (LCSW, LMFT, LPC) specializing in eating disorders or trauma
• Registered dietitians working with intuitive eating clients
• Health and wellness coaches focused on body awareness
• Yoga and mindfulness instructors teaching somatic practices
• Mental health advocates and educators
• Content creators in the mental health and wellness space

How Paperform Makes Affiliate Management Simple

This affiliate application form is built on Paperform, the flexible form builder trusted by wellness professionals and mental health organizations worldwide. With Paperform, you can create beautiful, on-brand forms that convert—whether you're collecting affiliate applications, client intakes, or program registrations.

Key features that make Paperform perfect for wellness businesses:

• Doc-style editor lets you craft forms that feel warm, approachable, and aligned with trauma-informed care principles
• Conditional logic shows relevant questions based on applicant experience, ensuring a personalized application process
• Secure data collection with SOC 2 Type II compliance, keeping sensitive professional information protected
• Payment integration for collecting program fees, deposits, or affiliate sign-up costs directly in your forms
• Automated workflows with Stepper (stepper.io) to streamline affiliate onboarding—automatically send welcome emails, add affiliates to your CRM, create tracking links, and set up commission structures without manual work

For programs like ours that bridge mental health, nutrition, and somatic awareness, Paperform provides the professional foundation to manage affiliate partnerships, track referrals, and build a community of aligned practitioners—all without needing a developer.

Start Your Application Today

We're looking for passionate professionals who understand the importance of interoceptive awareness in healing and wellness. If you're ready to share transformative body signal awareness training with your clients and community, we'd love to hear from you.

Complete the application below to join our growing network of affiliate partners. We review applications on a rolling basis and typically respond within 5-7 business days.

About Our Commitment to Your Success

We believe in supporting our affiliates with more than just a commission check. You'll receive comprehensive onboarding, access to our clinical advisory team, and ongoing education about interoceptive alexithymia, hunger/fullness recognition, and the latest research on body awareness interventions. Together, we're building a community of practitioners who help people reconnect with their bodies and find healing.