Request a Date

If we haven't met yet, filling out this form will give me all the info needed to screen you as a safety measure, and to find time in our calendars. The more thorough you are in filling this out, the sooner we'll be able to meet!

Screening Options (please choose at least 2)
1) A photo of yourself holding a gov’ issued ID
2) URL to your LinkedIn or a social network with 200+ connections
3) Two references from providers you have seen in the past 6 months.

ID photos can be sent to lilyanne.tantrichealing@proton.me