For my safety I do require verification. All of your information is kept confidential. Please fill out as much of the following information as possible. Name, Email, Date-Check/Preferred 411 ID (if applicable), and Provider References are required. I do not use work information as verification.
My phone number will be given to you after I have verified you.
NO EXPLICIT EMAILS OR PHONE CALLS. IT WILL BE IGNORED AND YOU WILL BE PUT ON MY "DO NOT SEE LIST".
If you are new to this please read these articles: Contacting a Provider and Provider Relations 101