Appointment Form

Complete the form below for both initial and followup appointments. Please be as clear and concise as possible concerning the issue(s) to be addressed.

Be sure you have selected the correct Paypal button here for the requested service.

Thank you, and I am honored to be part of your healing journey!

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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