ClinicalAthlete Application

Directory

Join the Private Forum PLUS a potential listing on the ClinicalAthlete Directory to connect with athletes in need of your care!

This application is for health care professionals who are interested in joining the ClinicalAthlete forum and in receiving possible directory listing. We wish for everyone involved to have the same goal of growth in knowledge and practice. If you would like to be a part of the ClinicalAthlete Forum ONLY, please click here.

Name (include credentials if applicable)

Confirm Email

Profession

Phone Number

Website (if applicable)

Social Media Links (if applicable)

Work Address Street Address

City

State / Region / Province

Postal / Zip Code

Country

This will be the address of your clinic and will be used for the GPS software on the map.

Academic Background Briefly describe your Academic background

Athletic Background (include current methods of your own training) Briefly describe your Athletic background and current athletic status

Current involvement with Athletes / Athletics as a Clinician Describe what your current role is working with athletes as a clinician - % of case load, types of athletes you work with, etc.

Professional Philosophies Describe the principles that guide you in the management of your athletes

Goals For ClinicalAthlete What would you like to get out of ClinicalAthlete? What do you plan to contribute?

CV or Resume

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I would like to be a part of the ClinicalAthlete Directory AND Forum If you would like to be a part of the ClinicalAthlete Forum ONLY, please click here.

What's Next?

(1) Submit this application. (2) Check your email inbox for a follow-up confirmation that will explain the next steps (make sure to check spam folders).

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