This web page contains a live and functional spreadsheet created with
SpreadsheetConverter
. Please enable JavaScript in your web browser for the live calculations to work properly.
Hi there! We are putting together a database of mental health care providers who are willing
to volunteer their time to help health care workers cope psychologically during this time of
the COVID19 Pandemic. We hope to be able to link psychologists/counsellors/social workers
and psychiatrists with health care workers who may need help.
Many thanks, Healthcare Workers Care Network
Best viewed in Landscape mode
Please complete all inputs and click SUBMIT at the bottom
Province
Please Select
Eastern Cape
Free State
Gauteng
KwaZulu-Natal
Limpopo
Mpumalanga
North West
Northern Cape
Western Cape
District
[Dynamic Dropdown]
Full Name
Contact Number
Alternate number
Preferred Email address
HPCSA/SACSSP Registration Number
Willing to do probono
Please Select
Yes
No
Category of Registration
Please Select
Registered Counsellor
Psychologist
Psychiatrist
Psychiatrist Registrar
GP - mental health interest
Social Worker
Other
Availability
Please Select
Mornings only
Flexible during 8-5
Anytime - around work commitments
Evenings
Weekends
Group work
Please Select
Can do group work
Can't do group work
Able to be a co ordinator in my area
Please Select
Yes
No
Maybe
Willing to travel to a hospital in your area
Please Select
Yes
No
Maybe
Mode of work
Please Select
Tele Psych
Tele Psych & Face to Face
Face to Face only
Can be liaison consultant with COVID19 teamleaders
Please Select
Yes
No
Able to provide educational
content for health
care workers e.g. short videos, handouts,
pamphlets, Facebook etc
Please Select
Yes
No
Do you want to volunteer on the helpline
Please Select
Yes
No
Language (tick the applicable)
English
Afrikaans
Zulu
Xhosa
Venda
Northern Sotho
Southern Sotho
Tswana
Tsonga
Swati
Ndebele
Portuguese
Spanish
Reset
Print
Submit