How to Apply for Professional Membership
To simplify our application process we have provided a printable application that you can mail to our headquarters.
Click the link immediately below for your application.
OWA Professional Membership Application (click here to download pdf)
OWA Professional Membership Requirements (click here to download pdf)
OWA Professional Reference Release Form (click here to download pdf)
OWA Third Party Background Check Release Form (click here to download pdf)
OWA Credential Source Release Form (click here to download pdf)
Send completed application and check payable to:
Online Wellness Association
P.O. Box 1962
Eugene, Oregon 97440
Initial Basic: $249.00
Or use PayPal:
(Deduct any Discounts or Promotions)
(Processing Fee: In the event your initial application is denied a $50.00 processing fee will be deducted from the application fee and the remainder will be returned within thirty days.)
What sets OWA apart from other online therapy services, are the extra efforts we take to assure the professionalism of all of our practitioners. This will assure our goal of making OWA the primary resource when looking for safe and reliable therapeutic practices on the internet. Though our efforts are to utilize advanced communication technology of the internet to bring clients and practitioners together, we must take the extra time necessary to assure the qualifications and credibility of all of our practitioners. Our background checks typically take about two weeks for completion.
The following list is a breakdown of our application process and requirements:
1. Personal Information: name, date of birth.
2. Contact Information: address, telephone number, e-mail, web address, webmaster contact information, business card.
3. Recent Digital Photograph: photos will be resized as needed.
3. Professional Information: title, specialty, licenses.
4. Description of Services: summarize the specific services, specialty, or focus you are offering, hours of operation, preferred method(s) of e-therapy: e-mail, i.m. (instant messaging), a.v. (audio/video), optional method(s).
5. Mini Profile: a one to three sentence description of your method/approach to the services you provide; to be placed in the OWA Directory.
6. Brief Biography: biographies may be utilized if you are chosen as Member of the Month, or for other recognition programs.
7. Copy of Credentials: copies of any licenses, certifications, degrees, required to practice professionally.
8. Four Recent Professional References: colleagues in your field who are familiar with your work, credentials, and integrity. Please notify your references that they will be contacted for identity verification by an OWA Staff Member.
9. Agree to Background Check: a background check will be completed by a third party online agency. OWA will only receive communication that you have either passed your background check, or that we ‘need to discuss the findings’. OWA does not receive any of the information needed to complete this background check. Having a felony conviction does not necessarily exclude you from being a member of OWA, particularly if you are already actively working in your field. However, the following felony convictions will exclude you from membership in OWA: Pedophilia, Domestic Violence, Rape, Stalking, and Technology Related Crimes. In addition, you may also be excluded if you have lost your license based on ethical misconduct.
10. Name of Local Newspaper: a local publication that we can announce your accepted membership to OWA; publication name, address, phone number, e-mail address, contact person (if known).
