Post-COVID Scheduling Request
Unfortunately, at this time we do not know when we will be able to responsibly and safely reopen.

We have started a list of clients to contact for appointments when we are able to reopen. If you would like to be added to the list, please complete the following information.

If someone else would also like to schedule services, please complete this form individually.

Stay safe! We look forward to seeing you as soon as we are able.
Email address *
Name *
Please enter your first and last, and the name you go by if different.
Phone Number
How would you prefer to be contacted? *
Check all that apply. If you would rather be contacted via social media, please put your screen-name in the "Other" field.
Required
When are you most available?
Check all that apply.
Midday 11am—1pm
Afternoon 1—4pm
Early Evening 4—6pm
Tuesday
Wednesday
Thursday
Friday
Saturday
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