Make an Appointment for Head Lice Treatment

Please fill out the form below with as much detail as you can/like.

Note that this is NOT a confirmation of an appointment, but a request for one. We will get back to you very soon with the confirmation, so that we can address your head lice related issues in a timely & appropriate manner.

Name:
E-mail:
Phone:
No. Of People (for lice removal):
Preferred Treatment Day:
Preferred Treatment Time:
Where Would You Prefer the Treatment?
Comments:
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Make an Appointment for Head Lice Treatment

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