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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!

Courses

The 2-Step New Client Process

Picture of Black woman on webpage linking to pre-screen form

STEP 1. Complete the pre-screen form first then request a new client appointment at the bottom of the form. Click HERE or the picture above to start the form.

Picture of Black woman on webpage with step 2 of pre-screen process.

STEP 2. Check your email or spam folder for updates about intake paperwork within 24-72 business hours. This may come from Beloved Wellness Center or Client Portal.

Disclaimer: This website is not monitored 24/7. If you have a medical or mental health emergency, please call 911.

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