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Kaili Warmington
Appointment Request
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Appointment Request - Kaili Warmington
155 Industrial Avenue, Carleton Place, Ontario, K7C3V7, Canada
rootedintention.parenting@gmail.com
Thanks for requesting an appointment with our practice.
The information has been received and we will get back to you shortly.
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Thanks for requesting an appointment with our practice.
The information has been received and we will get back to you shortly.
Complete a new form
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Prénom
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Nom de famille
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Contact information
Phone number
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Email
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Birth date
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Emergency Contact Name, number and relation
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Appointment request
Thank you for your interest in our practice!
What day(s) of the week is it easier for you to come for an appointment? *please note, I have limited availability currently as I transition into private practice*
*
Wednesday
Friday
Saturday
Sunday
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What time of the day is usually better for you?
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Lunch time
Afternoon
Evening
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What are your goals or hopes for Rooted Intention Parenting & Mentorship services?
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Is there anything else you would like to specify? (optional)
Are you looking for Virtual or In-Person (Carleton Place, ON.) Services?
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In-Person (155 Industrial Ave. Carleton Place ON.)
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