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Please fill out this form below and hit SUBMIT to schedule an appointment.  If you have questions outside of making an appointment, please use the CONTACT page to get in touch prior to making your appointment.  Thank you so much!  

Name *
Name
Please select one of the options from the dropdown menu.
Treatments
Please check the treatment(s) which you are interested in.
Monday Appointment Preference
If you prefer to have an appointment on a Monday, please use this area to mark what time slot(s) you have availability. You are welcome to fill out both the Monday and Wednesday appointment preferences if you are available on both days.
Wednesday Appointment Preference
If you prefer to have an appointment on a Wednesday, please use this area to mark what time slot(s) you have availability. You are welcome to fill out both the Monday and Wednesday appointment preferences if you are available on both days.
Please use this area to leave any additional details about your availability or to leave a message.