Consultation Request
Sign up for an appointment with Sue Simon Taylor. Sue charges $120 for a 45-minute phone consultation. Upon receipt of payment, she will send you a questionnaire to become familiar with your background prior to the call.
First and last name: *
Your answer
Email address: *
Your answer
Phone number: *
Your answer
Is this consultation for you or for someone else? *
If it is for someone else, who is it?
Your answer
What days and times are generally convenient for an appointment? *
Your answer
I understand that Ms. Taylor is not a medical professional, that all information provided is educational in nature, is not to be construed as medical advice, and that I am responsible for consulting with my doctor about my healthcare and medical treatment choices. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service