Client information are confidential and written authorization is required to release any information.
We will reach out to schedule an appointment via text or email.
Inappropriate behavior will not be tolerated and may be prosecuted to the full extent of the law. Please take this form seriously. We will not reach out or schedule if there is any inappropritae or funny business indicated in the form or communication.
By my electronic signature below, I agree to the policies and that I have answered all questions seriously and accurately.