Name *

First Name

Last Name

Phone

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If you are unable to make your scheduled appointment time, please let us know at your earliest convenience. We require 24 hours notice for any cancellation so that we may fill your appointment time with another client. Clients that "no-show" for their appointment or cancel with less than 24 hours notice are subject to a fee of $50. If you arrive more than 15 minutes late for your appointment you may be required to reschedule in order to avoid disrupting the appointments of other patients. We understand that unexpected events may occur on occasion, however clients that habitually miss or cancel their appointments without sufficient notice may be dropped from the practice. Please be considerate of our time as we will be of yours. *

*View the terms of service here.*

I AGREE TO THE TERMS OF SERVICE