If you have not been able to secure a desired appointment time on the scheduler, please provide your contact information and preferred appointment day/time on this form. I will contact you as soon as the availability opens.

Please note: 

• In-person appointments take place at the downtown Baton Rouge location. 
• In order to have a virtual appointment, you must be located in either California, Florida, or Louisiana.

For any questions, you can send an email or text message (225-449-9606).