Working with Dr. Dave Jackson

Use this HIPAA-secure & encrypted form to contact Dr. Jackson about the following services:

• Requesting couples therapy
• Joining an existing Relationship Retreat through ATAGF
• EFT Supervision, Mentorship, or Consultation
  
  

If you are requesting an EFT Training, CE course, or Event Emcee please use this form instead.

Dr. Jackson's office staff may contact you about your request, as that is often the most efficient way for him to communicate with others.

Note: This form should not be used during medical and/or psychiatric emergencies because responses to this form are not monitored in real-time. If you need urgent help, please use the following resources:

• 988 Suicide & Crisis Lifeline: 988 (call or text)
• Call 911 if it is a life-threatening emergency

If you would like an email response to your inquiry, please read our Email Informed Consent. If you do not want to correspond with Dr. Jackson and his staff (employed by Assessment and Therapy Associates of Grand Forks) by email, please leave the Email field blank.