If you need to come back to this page and fill it out at a later time, you can return here by clicking the link under the “Current Client” section of our website at the bottom of every page. Your Name (required) Your Email (required) Please make 3 choices for your follow up session date. We will schedule you for one of the dates you pick unless all of them are booked, in which case we will contact you. We will send you a confirmation email when your appointment has been scheduled. We only book sessions on a Monday, Friday, or Saturday from 5pm to 8pm Central Time. 1st Choice for Follow Up Date 2nd Choice for Follow Up Date 3rd Choice for Follow Up Date Preferred Time of Day (all times Central time zone, check all that work for you) 5:00pm5:30pm6:00pm6:30pm7:00pm7:30pm Your City and State (So we can send you an appointment time in your local time zone) Any additional comments you'd like to share about scheduling your session?