MEMBERSHIP FORM

If you are interested in being vetted as a clinical social worker through our mental health registry and telehealth network please see the instructions at the bottom of this page. 

The Alliance of Social Workers in Sports maintains a telehealth provider list that is shared with various sport-based organizations. We also have a vetting process for sport social workers interested in being listed on the mental health registry for the United States Olympic and Paralympic Committee. To be considered for either of these lists please email the following information in a single Word of PDF document to socialworkinsports@gmail.com. 

(1) Mental health discipline (e.g., social work, psychology, counseling) 

(2) Primary State/Province of Licensure 

(3) License Number 

(4) To what specific athletes do you provide services? How long have you provided these services?

(5) In what capacity do you provide services (sole provider, consultant, contracted provider, in-house provider etc.)?

(6) Please discuss your training and/or supervision in providing sport social work or related services. 

BE IN 
TOUCH
P.O. Box 407 
Westfield, IN 46074
Tel: (800)567-1178
Fax: (765)285-1029 
socialworkinsports@gmail.com
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