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.
Which services are you interested in discussing?
Integrated Recovery Principles (IRP) for Co-occurring Disorders (course)
Large Group IRP Education & Consultation Group (open internationally)
Private group IRP Education & Consultation Group
Individual consultation(s)
Other
IRP Training
Estimated seats (IRP)
LARGE IRP EDU/CONSULT GROUP - PUBLIC
Prerequisite: Must have completed the IRP training.
Estimated seats (Lg Grp)
Estimated # of sessions (Lg Grp)
LARGE IRP EDU/CONSULT GROUP - PRIVATE
Prerequisite: Must have completed the IRP training.
Estimated seats (Private Grp)
Estimated # of sessions (Private Grp)
INDIVIDUAL CONSULTATIONS - PRIVATE
Prerequisite: None
Estimated sessions (Indiv 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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