Contact

Appointment Request

* Indicates required field

Name *

First

Last

Email *

Phone Number *

What hair service would you like? *

Availability *

Covid Health & Safety *

I have followed covid health and safety protocols for the past two weeks. I understand to fill out Health Form on the home page 24hrs. before appt.

Interested in Hypnotherapy or Reiki *

Upload photos of inspiration (optional) *

Max file size: 20MB

New? How did you discover me? *

Service Re-do Policy *

I understand & agree

Submit

Your form has been received. Please be patient while I organize a backlog of clients. I will reply within 48 hours. Thank you!