Irene's Coaching and Consultation Wait List
My practice is currently closed due to COVID-19 and an upcoming move abroad. When I reopen in the Fall of 2020 I will be doing coaching and consultation only. If you wish to work together at that time, please complete this form. Share a little about yourself and what you hope to address.

Be well!
Full Name *
What name do you go by?
Phone number *
May I call the number above? *
May I leave voicemail messages at the number above? *
May I send text message appointment reminders? *
Email: *
May I send emails to the address above? *
How did you learn about me? *
Give me a brief idea of what you are hoping to address in consultation.
Thank you for signing up for the wait list. I will be in contact as soon as an opening is available. I can't wait for us to work together!
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