Animal Communication Request Form
In performing an animal communication at your request, my intentions are always of a higher good. I am here to assist both you and your pet, with no judgment or opinion. I am not a veterinarian and cannot diagnose a disease. I simply connect with the animal to inquire about your concerns, and enable you to receive the message intended for you. Please fill out the following fields and then press the "Request an Animal Communication" button at the bottom of the page. Information is collected for consultation purposes only and is CONFIDENTIAL, to be used only by me to help you with your pet.
PRIORITY
Please choose one of the following:
Non-Urgent (60 min) $85.00
Non- Urgent (30min) $48.00
Urgent (60min) $110.00
Urgent (30min) 65.00
Emergency (60min) $130.00
Emergency (30min) $85.00
CONTACT INFORMATION
Please fill out ALL the fields below
First Name:
Last Name:
Email Address
Telephone Number:
Street address/PO Box #:
City:
State:
OH
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip:
Country:
INFORMATION ABOUT THE ANIMAL
Please fill out ALL the fields below
What kind of animal is it?
Your animal friend's name:
Your animal friend's age:
Your animal friend's sex:
Female
Male
How long has your animal friend been with you
(explain if necessary):
Please describe your current concern and specific
question(s) about your pet:
Please list names of people and names/species
of other pets in household and their relationship
to the animal in question: