Name* First Last Email* Phone*Does your issue fit one or more of the following topics?*Select all that apply. Suicidality Child abuse/reporting Tarasoff-related issues Confidentiality Consent, record requests and subpoenas Lawsuits/BBS complaints or misconduct None of the above We're sorry. Our legal consult only covers the above-listed topics.If your issue does not fit within one of these areas, you are welcome to complete a request to send to our Ethics Team. Otherwise, please contact your liability carrier for further advice.Description of issue*Do you currently have liability insurance?*YesNoIf you do not have liability insurance, there may be a charge associated with any services beyond this initial consultation.Liability Carrier* Liability Policy # Have you reached out to your liability carrier on this issue?* Yes No Best times to reach you by phone* Mondays (8:30am - 12:30pm PT) Tuesdays (8:30am - 12:30pm PT) Wednesdays (8:30am - 12:30pm PT) Thursdays (8:30am - 12:30pm PT) Fridays (8:30am - 12:30pm PT) I have a conflict and can never meet during these times. Alternate times requested*The attorney we're working with occasionally has afternoon/alternate times available. While we cannot guarantee availability, please specify one or more alternate times you may be available. Just to show you're human:NameThis field is for validation purposes and should be left unchanged.