This is my easy and secure booking form. Please fill out at least ONE FORM of screening. (Verification website, or 2 reputable provider references that you have seen within the past 6 months) As well as your basic information and your appointment request information.
The more information that you provide me with, the sooner we will get together. Please note: It takes time to process your request, as soon as you are CONFIRMED VERIFIED, you will be notified.