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Consultation Services Request Form
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This form is used to express interest in consultation services with Helsel Counseling. 

At the end of this form, you will be able to view my calendar and request a meeting time. 

Full refund will be provided if after reviewing this request, I find that I am not the best fit to help you. 
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Email *
If you are interested in a deeper dive, ongoing email or text access to me, and access to my template library, a mentorship package may be a better fit for you. You can explore that option, here, before proceeding. They are able to be "renewed" month to month, so there is no hidden information about an ongoing fee or being "locked in" past 1 month. You can pay for one month, in theory, and get what you need if you are looking to really get moving on updating your systems.

Note that while I may verbally share information related to templates/systems in a 1:1 consultation, I only release electronic versions of them in my mentorship packages.
Please state your first and last name, your pronouns, and your credentials. 

(i.e. Hunter Helsel, MS, LPC she/her)
 *
Are you a group practice owner or an executive position at an agency/group, a pre-licensed clinician or a student? *
What setting do you work in? *
What topic(s) are you interested in consulting on? Please check all that apply.

Note that if you are planning on only booking one consultation, please only select one topic if you plan to go in-depth. Can select 2 if there is not a large need on either topic, but it is not common that we can successfully fit 2 topics in one meeting. You can select multiple if you plan to book more than one consultation within the next month or two, but please make that clear by checking “Other” and describing there.
 *
Required
Please provide a description of what you're hoping to gain from our meeting, based on the topic(s) you'd like to discuss. This can include general information, questions, etc. 

The more detail the better as it helps me prepare and also to know right off the bat if I am the best fit to help you as the service is non-refundable.
 *
Modified "Pay-What-You-Can" Guidance
Step 1: Complete Consultation Agreement, here.
  • You will automatically be sent a copy to your email. Please check your spam if you do not see it in your inbox.
Step 2: Complete payment, here.
  • Payment plan options are available at check-out for any cost. 
  • Based on the parameters in the chart above, (1) type the amount you want to pay in the promo code area of the invoice. i.e. if you wish to pay $125, you will type "125" in the box; if you are paying $200, you will type "200" in the box and (2) state how long of a consultation you are booking (i.e. 55, 75, 90).
No adjustments are provided for failure to follow these directions so please proceed carefully.
3. Book your Consultation, here.

I recommend also opening up this form in a new tab/window in the event that you'd like to be notified if something opens up sooner if what is available to book is later than you'd like to meet.
  • I reserve Mondays for consultations but if you absolutely cannot meet on a Monday, I do allow booking on other days of the week, but you will need to email me separately to inquire about my schedule. Note that I do not allow scheduling outside of Mondays for reduced rate consultations that are $75 or $100, although you're welcome to be added to my cancellation list and if I get any cancellations for Tue-Fri, I will email you. Note that these will likely be 72 hours or less notice. Payment plans are available as needed for every price point at check-out.
  • If after reading this form I feel I will not be able to meet your needs, I will reach out to you and will refund you in full.
Please check off each step (1-3) that you have completed before submitting this document. *
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