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Existing Client Appointments - In Office or Phone Consultations
Name or Names
Desired Service (s)
30 minute detox footbath
45 minute detox footbath
60 minute detox footbath
30 minute follow up with Dr. Val
Customized Emotional Support Formula
Phone Consultation (30 minutes - $40)
Phone Consultation (60 minutes - $75)
Other: ___________________________________
Email Address
Phone Number
Preferred Appointment Time
Tuesday afternoon
Tuesday evening
Thursday afternoon
Thursday evening
Saturday afternoon
Saturday evening
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