Book An Appointment Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Email *AddressAddress Line 1Address Line 2CityState / Province / RegionPostal Code_________________________________Service Category *Couples & Sex TherapyIndividual CounsellingCoachingConsultingTransformational TherapiesOther/UnsureCommunication Preference(s) *In-PersonPhoneSkypeFacetimeSession Length *1 Hour2 HoursAvailable Day(s) *MondayTuesdayWednesdayThursdayFridayTime of Day *AfternoonsEveningsTime of Day *Mornings Afternoons EveningsTime of Day *Possible Morning-Only Appointments AvailableAdditional Notes or Specific Requests_________________________________Method of Payment at Each Session *CashMoney TransferChequeClients can pay for their sessions by cash, electronic money transfer or cheque payable to Simple Transformations prior to each session. A receipt will be issued.I agree to the terms stated above and below and will keep all information confidential. *Yes, I AgreeAny therapy, consulting, counselling, coaching, guidance, therapies, group work and proprietary business information shall remain confidential at all times. These terms extend even after a session/service has concluded. Client agrees to visit/call/Facetime/Skype at the scheduled time. Client agrees to pay service fees in advance. Rescheduled appointments require 24 hrs notice or will be subject to fees.Would you like to receive emails from Simple Transformations containing tips, how-to's, upcoming events, special offers, and more?Yes, I would like that very much.EmailSend Form to Carole
