Currently Fully Booked, But I Will Be Taking New Therapy Clients VERY SOON! Please Fill Out The Form Below So I Can Contact You When I Have Openings! ☺️ Name * First Name Last Name When Is Your Birthday (Including The Year You Were Born)? * Email * Phone * Country (###) ### #### Do You Have Health Insurance & If So With Which Company? (Please include whether HMO or PPO plan if this applies) * What State Do You Live In? (Currently Can Only Take Illinois & Georgia Residents For Therapy - Please Check Out My Other Services If You Do Not Live In One of These Two States) * Illinois Georgia Thank you!
