Telephone Consultation Telephone Consultation Warning: Please avoid using your Back Button while in this form, use the buttons below. If you know you want to take a step forward and schedule some time for an entirely private telephone consultation, please fill out the following fields in advance of your call to me so we can make the best of our time on the phone. We will establish a fee agreement at the beginning of our call. Phone conference counseling can be especially beneficial when geographic distance prevents more personal consultation. Your contact info is required so that I can respond to your call for help! (Use an alias if you wish to hide your identity) Step 1 of 4 25% Disclaimer* I've read the 'Confidentiality Disclaimer' on the right. Name First Last Email* PhoneAll questions below are optional! Just provide as much information as you wish. You may leave any of the below questions blank. Remember, you may wish to reserve for later your most guarded secrets. You can assure your utmost confidentiality by saving some information for our personal-private counseling sessions!If you are in need of help, this may be your first-step toward realizing the changes you desire. Please summarize your current challenges.So that you can make informed decisions, I will provide you with decisive recommendations about mental health counseling before you initiate formal work. What questions do you have about my private practice? Questions about Mental Health and Psychotherapy Options:Below you may write your specific questions about the challenges that are confronting you. You may wish to ask questions about psychiatric diagnoses, treatment methods and the like. Please list the questions that you would like answered when we speak.Go ahead and summarize for me anything that you want me to know prior to our phone consultation.What do you want to accomplish as a result of our call? Family Intervention Assessment and Planning Consultations:If you are concerned about problems of addiction, I will help you evaluate your situation for the appropriateness of family intervention services. Please summarize the issues or addiction problems.The initial phases of alcohol-drug intervention planning can often be accomplished by multi-person telephone conference calls. Because of the delicate and complex nature of the intervention process, we must carefully explore the various nuances, dilemmas, and challenges that presently confront you. Please list any significant challenges you wish to bring to my attention prior to our phone call.Which key people do you hope will help with our intervention process? Please list the first name and relationship of others that you will ask to help.Also important is the determination of just what treatment alternatives exist for alcohol drug rehabilitation. If you have been in contact with a treatment facility please let me know that. To whom did you speak? Do you already have treatment available or do you want help with treatment matching. Also important is the determination of just what treatment alternatives exist for alcohol drug rehabilitation. If you have been in contact with a treatment facility please let me know that. To whom did you speak? Do you already have treatment available or do you want help with treatment matching.Harm reduction strategies and safety precautions are always central to formal family intervention contexts. What concerns do you have about maintaining the safety or yourself or others?You are likely to have many questions that warrant clear, thorough and decisive answers. Many risks must be considered and addressed to assure a smooth and successful intervention process. In the exploratory phase of our work together, much of our preliminary planning may be expediently accomplished by telephone conference. Please list below any questions you wish to address during our phone conference.If you are interested in conducting a formal intervention with me, you may also want to fill out the "Family Intervention and Crisis Prevention Profile" that is included on this page.