By submitting this form, you acknowledge and agree to the following terms:
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1. Purpose of Contact
This form is intended solely for professional inquiries related to Dr. Carie Rodgers’ consulting, training, supervision, or speaking services. Solicitation or promotional messages are not permitted.
2. Confidentiality Disclaimer
Information submitted through this form is not considered confidential or protected under therapist-client privilege. Do not submit personal health information or sensitive data.
3. Response Time
While every effort will be made to respond promptly, submission of this form does not guarantee a response or the availability of services.
4. No Client Relationship Created
Completing and submitting this form does not establish a client relationship with Dr. Carie Rodgers. A formal agreement must be reached prior to the provision of any services.
5. Use of Submitted Information
Information you provide may be used to respond to your inquiry and offer appropriate services. Your information will not be sold or shared with third parties.
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By checking the box, you confirm that you understand and accept these terms.