HIPAA Compliant Professional Consultation Inquiry
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Email *
First and Last Name *
Phone Number *
Best Method of Contact *
Required
Are you interested in... *
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How did you hear about me? *
Dates you're available *
Please share any additional helpful details about the case consult or workshop/presentation request (including number of people expected to attend) *
I do my best to return emails within 48 hours during the week and 72 hours on the weekend, aside from holidays and vacation time. When do you need an answer by or what is your ideal timeline? *
A copy of your responses will be emailed to the address you provided.
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