Consultation Request
Complete this form to request consultation with Ana M. Salazar, LPC-S
Please allow 2-3 business days for a response. (Mon-Fri, except major holidays)

For my wellness, caring for my family, and ensuring I have enough energy and spirit to care for my clients, I have a schedule for checking various emails. But usually, I will get back to you within a few days.

I hope our schedules and goals align to allow us to collaborate together but I cannot guarantee that my training, expertise, or worldview will fit your needs.

If for whatever reason we cannot collaborate, I will do my best to work with you to find alternative options.

I respect your time and consideration.
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Name *
Email *
My work setting is most like... *
My experience for peer professional consultation is most like...
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What areas do you feel you most need consultation in? (Select all that apply) *
How soon are you hoping to collaborate? (Please note, if you have urgent or emergent consultation needs for client welfare, this is not an appropriate method for consultation as I cannot guarantee availability.) *
In short, how would you describe your areas where you need consultation, collaboration, or help?
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