BOOKING FORM

Dr. Dominique will engage, educate and empower your audience through thought-provoking stories and actionable steps. Your audience will thank you for booking her. Please complete this booking form and a member of the team will be in touch within 24-72 business hours!

WE ARE HIRING! CLICK HERE TO LEARN MORE.

COMPLETE NEW CLIENT PRE-SCREEN

Booking Form

To book one of our clinicians as a speaker, trainer or consultant, please complete this booking form and a member of the team will be in touch within 24-72 business hours!

Time of Event

THANK YOU FOR SUBMITTING. PLEASE ALLOW 24-72 BUSINESS HOURS FOR A RESPONSE.