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Please indicate your preferred appointment date and time.

Please use the space below for any comments or questions.

Cancellation policy

Let me know if you need to change or cancel your appointment. I require a minimum 24 hours' notice. This allows me time to arrange for another client to take that appointment.

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Note: You will be charged the full cost of your appointment if you cancel less than 6 hours before your session. The information collected on this form is done so in accordance with our Privacy policy and with Alberta's Personal Information Protection Act (PIPA).

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