New Client Screening Form 

It's long but only needs to be filled out once
(Required in order to book appointment)

Booking Request Form         












CONSENT AND BOUNDARIES 
(Please read in full)





VERIFICATION REQUIRED FOR NEW CLIENTS (For Safety purpose - 100% confidential)

Safety Notice (Please Read)

For personal safety and professionalism, I am always accompanied to and from appointments by a discreet driver/chaperone.
They remain nearby at all times (usually down the street or in a parked vehicle) and do not interfere with your session in any way.
This ensures mutual comfort, privacy, and protection — especially for new clients or outcall visits.

🧾 Final Notes

  • First and foremost - Thank you for taking the time to fill out this LONG form.
    In the next 48 hours (Once we have had a chance to look over your form and have confirmed your I.D) If all is good - you will receive a confirmation text/email, with an Identification Code - this code WILL BE REQUIRED when booking any services

  • All sessions are legal, fully consensual, and are for Mental and Physical therapeutic reasons only.

  • I reserve the right to decline any session that feels unsafe, inappropriate, or outside my comfort zone

  • Your information is private and never shared — safety goes both ways






✅ One Last thing to Confirm

By answering yes, you acknowledge that:

  • You have read and understood all the above policies

  • You agree to respect all boundaries and behave appropriately

  • You understand a safety driver is always nearby

  • You understand your deposit is non-refundable unless I cancel the session

🧾 Final Notes

  • All sessions are legal, fully consensual, and are for Mental and Physical therapeutic reasons only.

  • I reserve the right to decline any session that feels unsafe, inappropriate, or outside my comfort zone

  • Your information is private and never shared — safety goes both ways

THANK YOU FOR YOUR BOOKING  - You will hear from us shortly and We look forward to seeing you.

Booking & Deposit Policy Reminder

A non-refundable deposit of 20% is required to confirm your booking once you receive your confirmation email. 
Remaining balance wil be due at the start of the session.
Same-day cancellations or no-shows will result in forfeited deposit and refusal of future bookings.

Please note: For my safety, I do have a discreet driver who accompanies me to and from all appointments. They wait nearby and never interfere. This is simply part of my professional protocol — your privacy and comfort remain fully respected.”

⛔ Cancellations & No-Shows

  • Cancellations within 48 hours forfeit the deposit

  • No-shows will be blocked from booking in the future

  • If I must cancel for any reason, your deposit will be fully refunded or transferred to a rescheduled time