Please fill out the following form to request a session time. Please allow 24 hours for confirmation. If scheduling within 24 hours, please text (260)210-3017.

First name

Last name

Email

Phone

Length of Session

Location

Desired Date

My dates are flexible.

Please send me multiple open dates available.

I am interested in regular standing appointments in 2 or 4 week rotations.

Desired Time

Morning 9:30 AM - 12 PM

Afternoon 12 PM - 4 PM

Evening 4 PM - 7 PM

I have special consideration.

SESSION REQUEST FORM