For my safety I do require verification for all clients. Rest assured that your information will be kept confidential. Verification is processed by me personally.
When filling out this form please keep in mind that the more information you give me the quicker I will be able to verify you. The quicker I verify you, the quicker we can set up an appointment. Same day and short notice appointments are difficult for me to arrange so I kindly ask that you give me at least 24 hours notice if you are a new client and at least 2 hours notice if you are an existing client.
I have flexible availability but am only available by appointment.
NO EXPLICIT EMAILS OR PHONE CALLS. IT WILL BE IGNORED AND YOU WILL BE PUT ON MY "DO NOT SEE" LIST.
If you are new to seeing providers or would just like some more information about this process please visit these two links:
Contacting a Provider
Provider Relations 101