Consultation Application
Please complete the following application to be considered for consultation slot. Once your application has been submitted, Crystal will be in touch with next steps!
* Required
First & Last Name
*
Your answer
Email
*
Your answer
City & State
*
Your answer
Phone Number
*
Your answer
I am interested in:
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Individual Consultation ($100/hour)
A Consultation Group (To Be Determined, based upon interest)
Required
Do you have access to high-speed internet and camera/microphone devices on your computer?
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Yes
No
Maybe, I need some help figuring that out.
Do you have a current Montana license (LCPC, LCSW, or LMFT)?
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Yes
No
Not yet, but in the process
I am licensed in another state.
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