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Consultation Request

*Required

*I would like to schedule a consultation for:

Please choose from the following options.




Contact Information

*Is this appointment for your animal?

Consultation Scheduling

Please indicate your preferred day and time for your consultation. I will contact you to schedule the actual appointment. If you are choosing a phone consultation,please remember that you are to call me at the scheduled time. I am on Central Time, outside Chicago.

Preferred Method of Contact:
*Please select a type of session:


*available only within travel distance. subject to additional travel fee. Contact me for amount.
*Please choose from among these options:



Please note: the minimum for an in-person session is one hour (60 minutes).

No payment required at this time.

NOTE: If you are having problems with the online version of this Consultation Request form, please download and print this PDF version, fill it out and mail it to Carol at the address which you will find on the form. Thanks!


*Disclaimer:
Animal Communication is not an alternative or substitute for good veterinary care, proper nutrition, training, or exercise.

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