Please fill out the form below to request an appointment. Please include your requested appointment date and time.

NOTE: I can only accept appointments that are made at least 24 hours in advance. If your requested time is not available, I will contact you to reschedule by both phone and email. Once I confirm back to you time and date are available appointment will be set. Appointment must be paid in advance before arrival.

Your Name:

Your Email Address:

Your Phone Number:

What type of session do you want?:

Desired Appointment Date/Time:

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Office Location Hours: 9AM – 6PM, M-F

Hours for any other/Traveling location: 8AM - 7PM, M-F

Comments:


(Please specify any details I should know; for example, if you have any medical issues or physical disabilities , or you can provide the address where you would like services if you are requesting that I travel, etc.)

If you are having trouble with this form or would simply like to schedule your appointment by phone,
I can be reached at 720-260-0512. If you get my voice mail, please leave a message with your name
and number and I will call you back as soon as possible.