Consultation Request Form

If you are interested in an email or Video Chat Session with Randy, please complete the following form.  You will receive a response within 48 business hours.  Please be advised of the following:

  • Neither Video nor Email are secure forms of communication. Please do not disclose sensitive personal information as we cannot guarantee your privacy.
  • You must check that you have read and agreed to the “Terms and Conditions.”

For Consultations Requests:

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How Much Do You Know About Mental Health?

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