Contact | Paz

Full Name*

Email*

Phone*

Day and preferred time*

Alternate Time

Type + length of session*

Have you been heathy and free of symptoms for the past 2 weeks?*

Please share a few words about your current lifestyle (do you work from home or with the general public?) + Any Requests + Comments

Are you a returning patron or a new seeker?*

Returning Patron
New Seeker

New Seeker:

Please tell me a little about yourself and choose one of the screening options below.

Your City, State of Residence*

Where did you find me?*

What draws you to my practice?*

Your board handle or p411/rs2k member details

Choose screening option*

Professional information
Provider references

Professional Information

Link to professional website or Linked-in profile*

Work Email*

I may send you a discreet message to your work email to verify its authenticity. If you are requesting an appointment on short notice, this is by far the quickest way to verify with me.

Provider References:

Provider reference #1:
Please let your provider know that I will be contacting her.

Provider Name*

Contact*

Website or current online ad*

Provider reference #2:
Please let you provider know that I will be contacting her.

Provider Name*

Contact*

Website or current online ad*

Terms:

When we agree on a meeting time, I set that time aside solely for you. I expect the same in return. Should something change, I require 24hrs advance notice or a cancellation fee of 50% of your donation amount.

Select this button to indicate that you agree to my cancellation policy:*

I Agree

Name

This field is for validation purposes and should be left unchanged.

New Seeker:

Professional Information

Provider References:

Terms:

Welcome