Request for Consultation
Our work with community members in Buncombe County is guided by the belief in their power while acknowledging the systemic barriers that may be in their way to realizing their potential.

This may look like 1) referring people to a local agency, 2) advocating on their behalf to ensure they receive the support they need, or 3) collaborating with the individual to create a Self Agency Plan with action steps as we work through their crisis together.

Consultatucompa.org
**For this form in Spanish, use this link:  https://bit.ly/3e8IdBM
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Date *
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Is this referral for you or for someone else? ***If it's for someone else, select "Other" and write the name of the person it is for.                                                                                                                     *
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YOUR name: *
Phone number of person needing assistance: *
May we text this number for information, questions, or concerns regarding the referral request?
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Are you or the person you referred available for a call back from 10 am-3 pm, during the office hours of Consulta Tu Compa? ***If not, select "NO," and write a preferred time in "Other." We will do our best to give a 30-minute consultation during that time. *
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Language required *
THEIR email address, if available
Does the person live in the Emma neighborhood? (There are specific resources for people living in Emma.) If they do NOT live in Emma, select "Other" and write their city below:
How did you hear about Consulta Tu Compa?
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