Have you ever fantasized about a scandalous rendezvous with a sexy co-worker? Now is your chance to indulge in those desires!

Yes I know no one enjoys forms. But with that said they’re a big help with organizing your information and expediting your appointment approval process. Additionally keep in mind this is a secure encrypted form and the information collected is used solely to facilitate an appointment. (Please visit my Privacy Page for more information.)

But for those of you that can’t bring yourself to fill it out, send me a thorough email including the information requested in the form to

Secure Screening

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