Terms + Conditions

Please check each item that you read, understand and agree to and sign below.
If you have questions please contact me so that I can answer your questions. If you are not comfortable agreeing to these Terms and Conditions we can have a conversation before your appointment or you may cancel your appointment. Agreement to the terms and Conditions is required for treatment.

Print this agreement for your records before submitting. A printable version may be found here.

Printable Terms & Conditions here
The printable version of the Terms + Conditions is presented in a slightly different form as it is intended for manual signature. The contents of each section are identical to this form, except for the information about electronic signature.

If you require a copy identical to this page, please print a copy of this screen prior to submission.