Thank you for your interest in our Peer Consultation Group!Please complete the following form prior to registering. You will be automatically redirected to the peer consultation checkout screen once the form is completed below! Full Name * First Name Last Name Best Email * Can we add you to LifeSpring Counseling Services' Professional Newsletter? * Yes No Already subscribed I confirm that I am licensed as a LCPC or LCSW-C as this group is for fully licensed therapists only. * I confirm and understand. I understand that this consultation group is for clinical case consultation only. * This consultation group is NOT for private practice consultation or group practice consultation. I confirm and understand. I confirm that I will be marking my calendar and making every effort to attend peer consultation consistently. * I confirm and understand. Payment options for our Peer Consultation Group will be available as either a 12-month installment of $36.67/month ($440 total), or a one-time $385 fee. I understand that if I choose to opt into the installment plan, I will be charged on a monthly basis until my final installment is paid. * All payments will be processed through Stripe, as seen on the next screen. I confirm and understand. Thank you!