Information for Service Providers

Welcome. We're so glad you stopped by.

Service providers are an essential element to the Rock Dove Project. With them, we are working to create a network where good health and well being can be achieved in life-affirming ways. They provide all types of important services to our communities, ranging anywhere from massage therapy to non-violence training to dentistry.

We ask all potential service providers to first read and agree with our mission statement prior to continuing.

Agreed? Great! To get started as a Service Provider, keep reading.

Service Providers can choose from the following Types of Involvement in order to properly ensure their confidentiality and comfort when being connected to a Service Seeker:

Public: Provider's name and contact information can be listed on the website, in any print materials, and can be contacted directly by the service seeker.
Private (Full): Provider authorizes RD Collective to release his/her name and contact information without consultation to any service seekers whose needs match the provider's area of expertise.
Private (Moderate): Provider authorizes RD Collective to share service seeker's name and contact information so that provider can follow up directly with the seeker. RD Collective will not release provider's information.
Private (Limited): Provider authorizes RD Collective to send service seeker's name and contact information so that provider can follow up directly *for a limited number of cases*. RD Collective will not release provider's information. Provider will indicate number of cases and/or criteria for referral.

Health Service Providers who are interested in becoming a part of the network are screened through an interview with Rock Dove Collective members. Although we cannot unequivocally guarantee the effectiveness of each provider's services, this step allows us to make better informed referrals for Service Seekers, as well as build relationships with Service Providers.

Get Started!
To get started as a Rock Dove Service Provider, please fill out the form below. First, we want to thank you for wishing to participate in the Rock Dove Project. Please make sure that you agree with our mission statement prior to submitting this form to the Collective.

Name/Alias ~ required

Email Address ~ required

Other Contact Information

Description of Services ~ required

Type of Involvement ~ select one of the options below, read more above

	Public
	Private (Full)
	Private (Moderate)
	Private (Limited) ~ please specify availability below if choosing this option

Time/Space Availability

Do you prefer to have only a certain kind of client (eg the unemployed, single mothers, students, etc)?

Method(s) of Payment You Can Accept ~ check all that apply

	money (cash, check, credit card)
	health insurance
	mutual aid (type/frequency to be agreed upon between seeker and provider)
	donated labor
	none (free)

What, if any, kind of insurance do you take?

The following questions are meant to provide a fuller picture of who you are in case a Seeker only wants a particular type of Provider (eg Wiccan Queer Latina over 55).

Sex/Gender
Race/Ethnicity
Language(s) Spoken
Age range
Queer or Queer Friendly
Religious/Spiritual Affiliation

Is there anything else you would like us to know about you and your services?

Have a question? Contact us!