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Becoming A PCSS-M Mentor

Mentor physicians will be selected based upon their clinical and teaching expertise with particular attention to their understanding of opioid dependence, the rationale for buprenorphine treatment, their adherence to evidence and guideline-based treatment, their teaching ability, their willingness to provide consultation by phone and email, and their willingness to provide PCSS-M participants with the opportunity to observe their practice and patients.

Download a PCSS Mentor application: 

PCSS-M Mentor Application (.pdf - requires adobe reader 7.0 )

PCSS-M Mentor Application (.doc)  

We ask that all submissions for participation in the mentor program be submitted to the PCSS Project via email or fax.  Contact PCSS Staff for more information or with any questions about the program or application process.

EMAIL:  PCSSproject@asam.org
PHONE: 877.630.8812
FAX:  301-576-5156
Brochure: PCSS-M Postcard (.pdf)
Registration Form: Download Registration Form (.pdf)