Contact Me

My practice is currently accepting new clients.

Please complete the form below to contact me about your interest in my services.

My practice is currently accepting new clients. Complete the form to contact me about your needs. I will get in touch with you about my services and first available appointment.

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Communication preference

I prefer to be contacted by:

Phone

Text

Email

Service

Select a type of service

My Pronouns

Example: My pronouns are she/her

Tell Me More About You

What are your specific needs and goals?

Accommodations Needed

I am committed to providing inclusive services. Please describe any accommodations that you need in order to feel safe and comfortable.

Can I add you to my monthly newsletter email list?

Cancellation Policy: I require notification at least 48 hours prior to your appointment to cancel or reschedule. The entire fee for the service will be charged if less that 48 hours notice is given.

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