Consultation Request Form

Please fill out this form to make your request to book a FREE 20 minute consultation with Rebekah. You will get your response and options for booking over E-mail, unless you specify that you need a phone call in your message.

Rebekah is working on a system that will allow direct consultation bookings, and in the meantime, aims to respond to all consultation requests as soon as possible, so you may get a response quickly; however, it could take up to 3 business days from submission (this can be 72 hours to 6 days depending on when you submit the form) depending on her availability during any given week. Consultation requests are not intended to address crisis or mental health emergencies. If you are are in a crisis or need immediate care - please call 9-1-1, find a safe way to get to your nearest emergency room, or reach out to the 24/7 suicide/crisis life line by calling or texting 9-8-8 or going to www.988lifeline.org. 

Form submissions are sent to a HIPAA compliant email address; however, there are always risks in sending information over the internet. If you would rather, you can make your consultation request by calling Rebekah on her confidential phone line at: (352) 234-3315 - if she does not answer, and you would like for her to call you back, please leave a voicemail with your contact details and best time to get back to you; otherwise, you can try back another time.