Using the form below to request a booking is the fastest way to set up a date. If you’d like to submit your information directly by email, please review the required info below then forward it to

  • Date, time, duration, and location
  • Provide the contact information and website links of two providers you've within the past 12 months. If you are unable to fulfill this portion of screening, please let me know in the notes and submit the rest.
  • Which method of verification will you be providing?
  • If you’ve chosen ID verification, use this space to upload a picture of your driver’s license and a recent selfie.
    Drop files here or
  • If you've chosen employment verification, please provide sufficient information to verify your current employment status. This includes an active LinkedIn profile with a photograph connected to your employer, your listing on your company's website, or a company-issued email address. The more information you are able to provide, the easier it will be to verify your identity.
  • Is there anything I should know to make our appointment go smoothly?
  • This field is for validation purposes and should be left unchanged.