Thank you for your interest in Dr. Bianca’s services. Please complete this form, and Dr. Bianca will contact you soon.
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Which of Dr. Bianca's services are you interested in? Select all that apply. * Case ConsultationTraining or Customized WorkshopSpeaking Engagement (i.e., panel discussion or seminar)Other
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If you are requesting that Dr. Bianca speak at an upcoming event, please provide relevant information, including, date, time, location, and budget.
Which of the following best describes the area in which you are seeking consultation, speaking, and/or training? Select all that apply. * Clinical Mental HealthDestigmatizing Mental HealthSex, Sexuality, and GenderAnti-RacismImplicit Bias and Cultural HumilityDiscrimination & MicroaggressionTraumaRacial TraumaTrauma-Informed Andragogy, Supervision, Mentorship, & LeadershipAdvocacyJustice, Equity, Diversity, & Inclusion (JEDI)Other:
