Service:Session (7 attendees) change
Date/time:Thu, Nov 8 at 12:00 PM (EST) change

Please complete required information below.  

Sessions and Telesession consultations must be paid in full at least 3 days prior to session or within 10 days of scheduling whichever comes first. 

A separate email providing payment instructions by postal mail or online debit/credit card processing will be sent shortly. 

Sessions of 7 or less are scheduled at Rick's office location. 

Your information is safe and secure!  We adhere to a strict policy that your information will never be shared, rented or sold for any reason.  We value your privacy!  

First name*
Last name*
Email*
Phone*
Street address*
City, state, zip*
Promotion code
If you provide a promotion code, you will receive a seperate email with revised payment due from regular rate after you click schedule consultation. DO NOT CLICK PAY NOW LINK.
Notes
If Group Session (8 or more attendees) and request to be at your location, please note.
How did you hear about us?
* required field