Request a Session or Service Form

Client Request Form

Due to the number of inquiries received each day, this form is required so that my Assistant Lisa can see your needs and provide you a date and time for an appointment and quote if needed. Please note that the response time from my Assistant Lisa may be within 2 to 7 business days. Lisa will contact you via phone first then text, so be sure to include your US cell phone number to complete your booking. If you are an international client, Lisa will email you. Thank you, and I look forward to speaking with you soon. - Lauren www.mediumlaurenrobbins.com
Have you Read and Understood the No-Refund/Cancellation Information on the Services Page?*
How Did You Hear About Lauren? Facebook, Google, etc/
Are You a New or Existing Client? When Was Your Last Appointment?
Your Full Name*

First NameLast Name
E-mail*
example@example.com
US Cell Phone Number (for texting purposes)*

Area CodePhone Number
Amount of Time You Would Like to Request for Your Session/Service*

30 Minute Session by phone if available. 1 person only.45 Minute Session. 1 person only.60 Minute Session. 1 person only. Additional guests allowed.Private Medium Group Booking
Number of People
How Would you Like the Session Conducted?*

In-Person Office (If available due to COVID). I am vaccinated. If you are NOT vaccinated, make a note in the comments box. You agree to wear a mask in Lauren's office if approved.Online Gotomeetings ESTPhone EST (US Calls Only)
For Remote Sessions What is your Time Zone?
Type of Session or Service*
What is Your Preference for a Session via Eastern Standard Time (Boston) or In-Person in Mansfield, MA (if available)*

Any Time3:00 to 8:00 pm ESTI Need to Speak to You Soon - This is an emergency and I will pay an additional fee if you can find a time for me.
Please double check your email address and phone number before hitting the submit button below. If you live outside of the US, Lisa will contact you via email. Thank you for your interest in my work and I'll talk to you soon. xoxo Lauren Robbins
Do You Have Any Comments or Wish to Add Anything?
Should be Empty:

Client Request Form