Name: Heal by Sole
Price range: $$$

First name

Last name

Who is this appointment for?

Myself

Other

Address Where Service Will Be Provided

Type of Location

Private Residence

Office/Workspace

Please note: Service is not available in rural areas, hospitals, senior living communities or rehabilitation facilities.

Provide details regarding entry, parking, number of stairs, etc.

Important: Close parking and entrance required. Clean service area free of clutter, odor and pests. Please also ensure pets are secured in another room.

What type of seating will be used in your main living area?

Best Phone Contact

Email

List your available days and time slots:

Operating Hours:

Sat - Sun: 10AM - 2PM

Mon: 11AM - 7PM Tues: 10AM - 6PM

When was your last pedicure or foot wellness service?

Are you currently wearing gel polish?

Yes ($25 fee)

No

Are there any additional specifics you'd like to share?

How did you hear about Heal by Sole? If referred, please enter name.

Photos are required before your appointment: Upload 2-4 clear photos of the top and bottom of both feet using the button below. If you are unable to upload here, please text images to 804.837.0920 (confidential).

Foot Photo Pre-Assessment

SERVICE DISCLOSURE: Heal by Sole reserves the right to decline or discontinue service if conditions are unsafe, unsanitary, or not suitable. Mutual safety and professional standards are upheld at all times.

NEW CLIENT APPOINTMENT REQUEST