To make the most of your appointment, please fill out this form to the best of your ability. We can discuss further at your appointment if anything needs clarification.
Having trouble with the online form?
- Download the printable version to fill out by hand, and bring with you to your appointment
- Submit your $50 via PayPal in order to secure your appointment
Please note: a $50 non-refundable fee is required to secure your appointment time and cover the initial phone consultation and prep work for our appointment. If you need assistance submitting your $50, please contact me and I would be happy to help you!