Mental Health Support Application

Mental Health Support Application
Asking for help is part of taking care of yourself, just like training, recovering, and showing up to compete.

Whether you're working through something in your personal life, navigating the pressures of competition, or looking to strengthen your mental game, Western Sports Foundation can help connect you with the right professional.

Tell us a little about what you're looking for. We'll review your application, help determine the best fit, and connect you with a trusted provider. Most athletes hear from us within a few business days, and if your situation is urgent, we'll do everything we can to move faster.

Your conversations with your provider remain private. WSF coordinates your care and covers the cost of approved support, but we never receive details about what you discuss.
General Information

The following will be used to help us contact you and coordinate any care you are approved for.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth - Month/Date/Year
Gender
Professional Affiliation
Please indicate the events you compete in:
Please indicate the organizations you hold a card with:
Please upload a copy of your Affiliation Card (ex: PBR, PRCA, NIRA)

.pdf, .jpeg or .png file format only
Cancelof
What are you interested in today?
Which of the following services are you hoping to receive?:
Optional: what would you like help working through? Check all that apply.

Other
Optional: Tell us a little about what's going on.
There's no need to have the perfect words. Share as much or as little as you'd like. This simply helps us connect you with the right provider.
How soon do you feel you need support?
Are you currently experiencing thoughts of harming yourself or someone else?
If you are in immediate danger or believe you cannot keep yourself safe, please call 911 or go to your nearest emergency room. You can also call or text 988 to reach the Suicide & Crisis Lifeline.
Secondary Contact Information

Please share a trusted secondary contact that Western Sports Foundation (WSF) may communicate with on your behalf. This may include discussing sensitive information, helping with application questions, and supporting your ongoing care and resource coordination.
Secondary Contact Name

First NameLast Name
Secondary Contact Email
example@example.com
Secondary Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Your relationship with Secondary Contact
Should be Empty:

Mental Health Support Application

General Information

Professional Affiliation

What are you interested in today?

Secondary Contact Information