PROVIDER & COMPANION
New and Return Clients should fill out a contact form below to book an appointment.
Please specify if you are a New or Return client.
Complete the form and include verification, if necessary.
I accept Verification Websites, References, and Employment.
Verification wesbite: Provide handle and site. Include a link to reviews or profile if possible. ( i.e., P411, TER, Eccie)
References: Provide two or more verified provider references. Include name, date/location seen and contact information.
Employment: Provide professional online profile, company name/title, and contact information. You will need to attach your Government issued ID below. An email sent directly from company email may be requested as well. (i.e., LinkedIn)