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Please indicate your preferred appointment date and time.
Please use the space below for any comments or questions.
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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