Thank you for your consideration. Screening is an important process of my work. It ensures both of our safety as well as the safety of all of the clients I see. The information you provide here, is only used to verify your identity and is not kept beyond what I need to contact you. I do not harass or attempt to use any of this information to stalk my clients are cause problems. Discretion is the most important aspect of what I do. ALL information is destroyed once I've verified your identity.
Please enter your personal information honestly. I use several online sources to verify your identity.
Referrals move you to the front of the line and can be an automatic screening process. If you have seen a provider before and have membership on any referral sites please indicate in this section.
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