Name *

First Name

Last Name

Phone

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By submitting this form you agree that you are aware of the following:

This is a new program I launched in early 2022 to create more accessibility for people seeking my services. The general rules for the sliding scale program are as follows: -Each guest is given the opportunity to receive 2 sliding scale appointments per year. -The sliding scale prices start at 50% of the original appointment cost. -A limit of 8 hours of sliding scale appointment time is allotted per month. -I cannot guarantee that the sliding scale pricing can be extended to you for a given appointment unless specified by the practitioner prior to that appointment.

I agree