Appointment Request

Some alternative options for screening if you do not have any provider references would include 1 of the following:

  • Photo ID (just need to see that the photo and that your first name are accurate; you can blur out the rest)
  • Employment verification (you may email me from your work email)
  • LinkedIn

Rest assured, this is strictly for screening purposes, for my safety. This is completely confidential and your screening profile is automatically deleted by the site in seven days.


Those who really want to meet with me have not had a problem fulfilling my screening requirements. If you are uncomfortable completing this form online, please send your info along with any other details you would like included to:


Screening is MANDATORY for all NEW clients.  I understand that you may have the desire for anonymity, however my safety is my first priority. I pride myself on being discrete at all times and that any and all information/communication between us remains just that, "between us".


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A Little About Yourself
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Our Time Together
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