Please don't be hesitant to fill out my form, as not all fields are required. (I swear it won't be a daunting as it looks!) All information is held strictly as confidential and will be deleted automatically in 7 days, if I don't delete it as soon as I screen you. I usually do the latter. Failure to provide answers in crucial areas, or submitting false information will remove all possibility of meeting.
Upon completing the screening form, feel free to text me!
Form Not Required For P-411 members. Just click link and then request appointment!