Text stating "Sorry! I am not accepting new Couples at this time. Join the Waitlist" on a black background.

Unfortunately, due to the high demand for services, I often need to put new clients on a waitlist. I will use this list to get clients on board as slots become available!

(Current wait time: Approx. 6-8 weeks)

Your Name

First Name

Last Name

Your Partner's Name

First Name

Last Name

Are you a Florida resident?

Note: I only serve FL residents at this time!

Yes

No

Email

You will receive updates via email for available slots.

Phone

(We will not send unsolicited text messages or calls.)

(###)

###

####

How did you hear about my services?

What insurance do you have?

Terms of Use

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Yes, I want to submit the form.