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!
Online Therapy in Wisconsin
Got Questions? info@belovedwellnesscenter.com
Steps to Request Becoming a New Client
STEP 1. Click HERE to complete the new client pre-screen form. Allow 24-72 business hours for a response.
STEP 2. Check your email for approval or denial. Our decision is based on what you put on the form. If approved, you will be given a link to request an appointment.
STEP 3. After you request an appointment, it will stay pending (unapproved) until all intake paperwork is returned. Check your email's inbox or spam folder for a message from Client Portal for the paperwork.
Submitting this form is NOT an agreement or start to services. To know more about our rates and payment methods, visit our investment page. For crisis and community resources, visit our resources page.
Disclaimer: This website is not monitored 24/7. If you have a medical or mental health emergency, please call 911.