Homeopathy Consultation Scheduling Form
After you submit this form, I will email you back within 48 business hours with an available date/time and an invoice for the consultation. For acute consultations, I will be calling you as soon as possible, regardless of which day/time you choose. For initial consultations you will be charged a $100 booking fee. For follow-up consultations you will be charged the full follow-up fee. Once the invoice is paid, your appointment date/time will be secured.
Email address *
Name *
Phone Number *
Who is the consultation for? (if not for you)
Which of my services are you scheduling? *
For new clients, please describe the nature of your case in order to determine whether you need a complex or non-complex consultation.
Which block of time works best for you? (check all that apply) *
Required
Which date and time works best for you (optional)? Choose from the days/times listed above. Select a date/time that is at least 48 business hours from now. I will do my best to accommodate your choice.
MM
/
DD
/
YYYY
Which time do you prefer (in eastern time)?
Time
:
Please note that your time slot will be secured once the invoice is paid (which I will email to you within 48 business hours). Do you have any additional comments/requests regarding scheduling?
Submit
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