Service Request Form

OUR PROCESS – If you are interested in working with us for coaching, consultation or assessment, please complete the following form to get started.

If we have already been in touch by phone or have met in person, this step will get you into our system and enable us to get you scheduled and for services to begin.

If you have not already spoken with someone about your needs, we will get back with you quickly to assess your needs and collaborate with you on a best plan for moving forward.

We look forward to supporting our journey toward building hope and resilience and flourishing!

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    Services Requested (check all that apply)

    Individual Coaching:
    Regulation & Resilience CoachingParent and Caregiver Coaching / ConsultationOne Time Consultation

    Specialized Attachment & Trauma Related Assessment
    Trauma Related Needs Observation / Caregiving Needs Assessment, Provider Tiffany Sudela-JunkerNMT, Provider Reba Renner

    Advocacy
    SchoolsLegal

    I have seen such huge improvement in these kids and so much of this is due to the help you have given their caregivers. Thank you!

    Katharine G, M.A., Agency - Youthnet

    We have a teenager who is on the spectrum. He and I have been in a constant back & forth battle for a few years. The things I learned from you today are going to help me professionally as well as personally. Thank you!

    Theresa D, Parent

    Tif, your training today was outstanding. Your powerpoint, your delivery, and the content and pace were all spot-on. I felt very moved by many of the stories you shared and the photos that went along with the stories. Thank you for sharing with us.

    Sonia, Northwest Maritime Center

    Thank you for teaching how to work with people who regress to a younger age. I see it in children AND adults. Before, I would go into observation mode and try to understand “why” it was happening. But now I know how to help in moments like that, besides only trying to comfort, or whatever was situationally appropriate.

    Cheyenne, Parent

    Thank you for taking the time to share with my classes last week! Their response to your visit was overwhelming. UCLA is a university that values empirical scientific evidence above all, our student rarely encounter experts in the field who are actually on the front-lines, so it’s no surprise to me that they were deeply affected by you and your story! Real world experience is just as valuable as what is happening in the lab.

    Bonnie, UCLA

    Tif, you have changed my life. You have changed my parenting, and my teaching, and because of you, (me & my husband)… our family is flourishing. The things that I have learned from you are unbelievable and felt like you deserved to know that. Thank you so much!

    Jessie, Parent