5. PWP Mental Health Provider Inquiry
Are you interested in being a contracted mental health provider with our program? We are always putting LCSWs, LCPCs, LMFTs, and psychologists (PhDs/Psy-Ds*) into the pipeline for consideration as a contractor for the Physician Wellness Program.
Our vetting and contracting process is as follows:
1. Fill out the application form linked below to start the process.
2. If you meet our basic requirements, we will schedule a vetting interview with a couple of members of our committee to introduce and explain the program. This also gives us a chance to answer any questions they may have. It takes 30-40 minutes.
3. Upon approval, sign a contract with us for services.
4. Fill out and submit a W9, for tax purposes.
5. Request ACMS as an additional insured on your certificate of liability and provide it to us.
6. Fill out a profile form for your public listing on our website.
If interested, please fill out the initial inquiry application at the button below. This will place you in our queue for an interview. If you’d like to ask other questions, please call Melanie Mayer at 412-321-5030 x100.
*Please note we have used various terms to cover our mental health providers. We are working through our forms and paperwork to replace the general term therapist to be more inclusive of all levels of mental health providers and only use specific terms such as counselor and Psy-D when we mean them.
Learn More About Our Program Below
Have Questions or Comments?
If you have any questions in regards to the memberships, events, or just a general inquiry, contact us and someone from our friendly support staff will be happy to assist you as quickly as possible.
- 850 Ridge Avenue Pittsburgh, PA 15212
- Tel: 412-321-5030
- Email: [email protected]