Consultation/Supervision Request Form
Heather Risk, PsyD & Associates, PLLC provides consultation to mental health professionals, child welfare workers, teachers, attorneys, judges and others regarding the impact of trauma, trauma informed services, treatment, safety and placement needs, and other recommendations for difficult cases. Dr. Risk also provides TF-CBT consultation calls for mental health professionals who are seeking certification in this treatment or who are seeking additional support. Supervision services are provided to graduate students and licensed professionals seeking additional support and training. If you are interested in consultation regarding a topic or a particular case, please complete the form below and we will be in touch about fees and more information, depending on your needs.
Phone: ### - ### - ####
Address: Street, City, State, Zip Code
Please choose one of the following: I am a...
Child Welfare Worker
Teacher / School Personnel
Judge / Work with the Court System
I am interested in: (Choose One)
TF-CBT Consultation for Certification ( I have completed an approved training)
Additional TF-CBT Consultation
Consultation regarding a specific topic
Consultation regarding a particular case
Additional questions - Why are you seeking consultation?
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