SOUND Life Learning - Custom Orders
Please tell us a bit about your organization and its needs. The information shared here helps us get started in discussing how we might best support you.
ORGANIZATION INFORMATION
Name of organization
Website link
Which of the following best describes your agency/organization type(s):
Outpatient
Hospital/inpatient
Private Practice
Non-profit
Association
Community Mental Health
Other
Please briefly describe the services your organization offers.
CONTACT INFORMATION - For Order
This section is for those in charge of exploration and decision making around which products to purchase.
Name (order contact)
Email (order contact)
example@example.com
Direct phone (order contact)
-
Country Code
-
Area Code
Phone Number
Preferred mode of communication (order contact)
Please Select
Email
Phone
CONTACT INFORMATION - For License/Seat Manager
This section is for those in charge of assigning licenses/seats to your team and monitoring their progress. If you're confident in proceeding to partner with SOUND Life Learning for training and/or consultation and wish to share your seat manager's information now, please do so here if it's not the individual responsible for purchase already entered above.
Will your seat manager be the person listed above? If so, there is no need to complete this information.
Yes, the contact above will be our seat manager.
No, I will share their information here.
If we proceed, I'll share this information later.
Name (seat manager)
Email (seat manager)
example@example.com
Direct phone (seat manager)
-
Country Code
-
Area Code
Phone Number
Preferred mode of communication (seat manager)
Please Select
Email
Phone
TRAINING & SERVICE INTERESTS
Please indicate which services you are interested in exploring for a custom order.
IRP: Integrated Recovery Principles for Co-Occurring Disorders (14 CEU's):
Course: Integrated Recovery Principles (IRP) for Co-occurring Disorders
Large Group IRP Education & Consultation Group (open internationally)
Private/Agency Group IRP Education & Consultation Group
CODe: Co-Occurring Disorder Specialist Enhancement (60h)
Course: Co-Occurring Disorder Specialist Enhancement
Other Selections:
Individual Consultation
Agency Consultation
Other
Training
Please indicate the estimated number of seats &/or sessions, if you have an estimate.
IRP: Integrated Recovery Principles for Co-Occurring Disorders (14 CEU's) - Estimated seats
IRP Training: Estimated Seats
CODe: Co-Occurring Disorder Specialist Enhancement (60h) - Estimated seats
CODe Training: Estimated Seats
LARGE IRP EDU/CONSULT GROUP
Prerequisite: Must have completed the IRP training.
Which are you interested in?
IRP Group - Public
IRP Group - Private/Agency
Estimated seats (Consult Group)
IRP Group: Estimated Seats
Estimated # of sessions (Consult Group)
IRP Group: Estimated # of Sessions
INDIVIDUAL CONSULTATIONS - PRIVATE
Prerequisite: None
Estimated sessions (Individual consult)
Do you have unique needs that haven't yet been addressed in this intake form? We welcome any additional information you wish to share.
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