Homeopathy Consultation Scheduling Form
After you submit this form, I will email you back within 48 business hours with an available date/time. For acute consultations, I will be calling you as soon as possible.
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Email *
Your Name *
Phone Number *
Who is the consultation for? (if not for you)
Which of my services are you scheduling? *
For new clients, please describe the nature of your case (symptoms, diagnoses, etc.)
Initial Consultations are 1 to 1.5 hours (depending on complexity). Follow-up Consultations are 1 hour. Check all blocks of time which are convenient for you and I will get back to you with a time that fits my schedule. Note these are listed in Eastern Time. *
Required
Which date and time works best for you (optional)? Choose from the days/times listed above. Select a date/time that is at least 48 business hours from now. I will do my best to accommodate your choice.
MM
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DD
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YYYY
Which time do you prefer (in eastern time)?
Time
:
Do you have any additional comments/requests regarding scheduling?
Submit
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