This chapter approaches the topics of referral, consultation, and collaboration from the perspective of the pastoral counselor, although religious leaders and allied professionals in other related fields should be able to benefit from the conversation. It addresses why and when a pastoral counselor would choose to work with a client without any additional outside professional resources and why and when a pastoral counselor would choose to obtain consultation, request collaboration, or provide a referral or some variant combination of these. In a pastoral counseling context, consultation is understood as the process of obtaining input from another professional regarding the clinical work that is being done with a client. Collaboration can involve better communication, closer personal contacts, sharing of clinical care, joint education programs and joint program and system planning. Collaboration often happens on an organizational level around topics or events irrespective of any particular client.