Provide Forensic Medical Evaluations

SURVIVORS is seeking Licensed Physicians

Date of Application

Personal Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Fax

Professional Information

Professional Degree

Date Degree Received

Institution received from or attending

License Type

License Number

Date License Received

Languages Spoken

Additional Certifications and credentials

1-2 Specialty areas you would like listed (e.g. domestic violence, sexual assault, EMDR, TFT):

How did you learn about Survivors of Torture, International (SURVIVORS)?

Why are you interested in participating in the SURVIVORS’ Clinical Contract Network?

Please explain your interest and experience in working with issues of recovery trauma.

Please explain your interest and experience in working with issues related to human rights and social justice

(include relevant non-clinical activities)

Two Professional References

Reference 1 Name *

First

Last

Reference 1 Phone

Reference 2 Name *

First

Last

Reference 2 Phone

Required Documents

Please attach the following required documents.

Your Professional CV/Resume

Click or drag a file to this area to upload.

A copy of your current license

Click or drag a file to this area to upload.

A copy of your malpractice insurance

Click or drag a file to this area to upload.

Survivors of Torture, International is an Equal Opportunity Employer

SURVIVORS prohibits discrimination against employees, applicants for employment, individuals providing services in the workplace pursuant to a contract, unpaid interns, or volunteers based on any legally-recognized basis, including, but not limited to, their actual or perceived race, color, religion, religious creed, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), gender, gender identity, gender expression, age, sexual orientation, veteran and/or military status, protected medical leaves (requested or approved for leave under the Family and Medical Leave Act or the California Family Rights Act), political affiliation, domestic violence victim status, immigration status or any other status protected by state or federal law.”

Learn More About the Process

SURVIVORS recruits pro-bono volunteer physicians committed to our mission to “facilitate the healing of torture survivors and their families; educate professionals and the public about torture and its consequences; and advocate for torture survivors and the abolition of torture.”

Referrals are completed by attorneys. If the request a medical evaluation for their client’s asylum case, SURVOVORS’ medical case manager will schedule the client to come to our healing center for their evaluation and will serve as the main form of communication between the client and physician, as well as between the physician and attorney.

Many torture survivors in the United States seek asylum in fearing torture if returned to their home countries. It is important to document the physical consequences of torture as part of the case presented to immigration offices and judges. SURVIVORS’ pro-bono volunteer physicians accept these clients to conduct a medical evaluation, prepare a written report for submission to the court, and, if indicated, appear in court to provide testimony about their findings. Interpreters are provided for each client if needed.

You are not alone. We’re here to help. We’re a healing resource to survivors of torture and their families without regard to race, religion, gender, national origin, sexual orientation, or economic or legal status.

SURVIVORS can provide specialized care and support to empower you in your healing journey to become a self-sufficient and healthy member of your family and community. We are able to offer services to torture survivors and their families free of charge. Professional interpretation is available.

To find out if you qualify for services, please call us at 619-278-2400 to talk with an expert staff member.

MENTAL HEALTH SERVICES

SURVIVORS provides tailored individual, group, family, and couples therapy with licensed and licensed eligible mental health professionals throughout San Diego County.

MEDICAL SERVICES

SURVIVORS’ provides support for Survivors with medical needs like finding a physician for general health care or connecting with a vision provider to receive glasses.

MENTAL HEALTH SERVICES

SURVIVORS provides tailored individual, group, family, and couples therapy with licensed and licensed eligible mental health professionals throughout San Diego County.

PSYCHIATRIC CARE

SURVIVORS’ psychiatric services include a thorough evaluation of clients and regular follow-ups by a psychiatrist.

PROFESSIONAL INTERPRETATION

SOCIAL and PEER SUPPORT

SURVIVORS offers Healing Clubs to help counter torture survivor’s feelings of shame, humiliation, and isolation. Activities have included art projects and nature walks.

FORENSIC EVALUATIONS

SURVIVORS coordinates medical affidavits and psychological evaluations to support our client’s asylum cases. Medical and psychological evaluations are conducted by trained professional evaluators.

FORENSIC EVALUATIONS

SURVIVORS coordinates medical affidavits and psychological evaluations to support our client’s asylum cases. Medical and psychological evaluations are conducted by trained professional evaluators.

CASE MANAGEMENT

Services to address essential needs such as food, clothing, and housing. We distribute blankets, backpacks and educational supplies, public transit passes, and hygiene items.

MEDICAL SERVICES

SURVIVORS provides assistance with medical needs like finding a physician for general health care, or connecting with a vision provider to receive glasses.

PSYCHIATRIC CARE

SSURVIVORS’ psychiatric services include a thorough evaluation of clients and regular follow-ups by a psychiatrist. SURVIVORS combines psychiatric care with psychotherapy and social support.

SOCIAL and PEER SUPPORT

SURVIVORS offers Healing Clubs to help counter torture survivor’s feelings of shame, humiliation, and isolation. Activities have included art projects and nature walks.

INTERPRETERS

CASE MANAGEMENT

Services to address essential needs such as food, clothing, and housing. We distribute blankets, backpacks and educational supplies, public transit passes, and hygiene items.

Provide Forensic Medical Evaluations

SURVIVORS is seeking Licensed Physicians

Personal Information

Professional Information

Two Professional References

Required Documents

Survivors of Torture, International is an Equal Opportunity Employer

Learn More About the Process

Join the Healing Society Today