COVID-19 Mental Health Professional Volunteer Form

Thank you to all who have already signed up for weekly slots!

For new volunteers, please review the available slots below and click on the button(s) to sign up, and provide the following information:

• Name
• Phone number (Note: this will be shared publicly with potential callers. Consider setting up a free Google Voice number to use by clicking here)
• Email address
• Address of your practice
• Licensure Type/Licensure Number

Please note that the date shown during sign-up is the first date/time you will be available for calls, and that you're signing up for this day/time on an ongoing weekly basis through August.

Thank you for your willingness to help meet the increasing mental health needs of those on the front lines of COVID-19.