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  • Magdalene's Request Form

    All Data is Encrypted and Completely Private
  • Scheduling & Details

    In-person should be a minimum week in advance
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  • Safety Screening

    Please fill out the first one and at least one additional option
  • Please Understand

    This screening process is for safety purposes only. Information will not be shared with anyone unless explicitly given permission to do so (ie. if you wish to use me as a reference to another provider). All information and email correspondence can be requested for deletion at any time. 
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