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When booking please reach out to me via email only. Allow at least 24 hours to reply.

The form below must be filled out prior to contacting me. Any lewd or suggestive messages will be ignored. 

Please provide at least 2 provider references that you've seen in the past. 

If you do not have any provider references please put "N/A".

Also understand that further screening is required without provider references.

thanks for submitting!
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