Clinical Consultation Form

Group Practices, Independent Providers, and Healthcare Corporations

Bringing Sara Wilder on as a clinical consultant bridges the gap between mental health expertise and workplace wellness. Her trauma-informed, recovery-focused approach helps businesses reduce burnout, improve team dynamics, and create emotionally intelligent environments. Investing in staff well-being isn’t just ethical—it increases productivity, retention, and overall performance.

Full Name *

Title/Role *

Organization/Company Name *

Email *

Phone *

Organization Website

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Event / Engagement Information

Type of Engagement You’re Requesting

Keynote Speaking

Workshop or Training Session

Panel or Roundtable

Retreat or Intensive

Other

Please describe the need your agency has for speaking and/or training (ex: event, low moral, professional development and motivation, etc).

Title or Theme of Event *

Date(s) of the Event *

Address

Street Address

City

State

Country

Postal code

Expected Audience Size *

Audience Description *

Requested Topic(s) or Focus Area *

Event Goals or Desired Outcomes *

Logistics and Budget

Length of Session *

Is this a paid opportunity? *

Yes

Not sure yet

If yes, please indicate your budget or honorarium offer (optional):

Will travel/accommodation be provided (if applicable)? *

Thank you for your interest in having Sara speak or lead a training!

Additional Comments or Questions

How did you hear about Sara?