Privacy, discretion and safety is incredibly important to me.

Providing the following information is required  for me to feel safe and secure during our date. Rest assured, our interactions and any information you share will be handled with the utmost confidentiality. 

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• Full Name 

• Age

• Resident City & State

• Contact number - I won't call or text without your permission

• Two verifiable provider references (P411 accepted) -  if I am your first provider please write "n/a" for this section

• Employment verification (Photo of drivers license,Linkedin, work id, or website)

• Desired appointment date and time 

• Location

• Length of session

• How did you find out about me?

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