The purpose of this article is to describe a sport psychology position housed within a sports medicine department at a Division I University. The conditions that brought about the creation of the position will be examined. These will include the relevant history of sport psychology services and the relationship between the athletic department, sports medicine department, and the counseling center. Other issues to be examined include the logistical and administrative hurdles in the development of the position as well as the scope of practice, service delivery model, and the types of presenting problems that are typically assessed and treated. The spirit of this article is to assist practitioners and administrators seeking to bring sport psychology services to their institutions. This model is by no means intended to be comprehensive or authoritative, but rather is to be understood as dynamic and malleable to the particular characteristics and history of other institutions.