Consulting Services Intake Form

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After you fill out the intake form, you will receive our onboarding documents through Dropbox Sign.

Name(s) *

Preferred Pronouns *

Please select all that apply *

I am a 2e Adult

I am a Parent of a 2e Child

I am an Educator

I am a Clinician

I am seeking services as a 2e Adult

I am seeking services as a 2e Parent

I am seeking services as an Educator

Required

Email(s) *

Phone Number(s) *

City, State, Country *

What are you hoping to get out of your sessions? *

Is there any other information that will be helpful for me to prepare for our first session?
*

I understand that Julie’s consulting fee for 2024 is $300 per hour and that fees may increase in January of the following year.
*

I understand

Required

Submit

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