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NEW CLIENT APPOINTMENT REQUEST
Type of Location
Residence
Office/Workspace
Other (please indicate below)

Please note: Direct entrance parking is required to safely unload and carry small working equipment into your space. Please also ensure your service area is free of clutter and prepared for wellness based service.

Service you are requesting:
Please select all that applies to you:
Are you experiencing the following foot concerns? (Select all that apply)

Required: Upload 2-4 clear photos of the top and bottom of your feet to prepare for your session. You may also confidentially text images to 804-837-0920. Photos are required before service.

Photo and Service Disclosure:

By scheduling your new client appointment, you acknowledge and grant permission for Heal by Sole to capture photos and videos of your feet for client records, marketing and education. Content will not reveal your identity unless you provide verbal consent at the time of service.


Heal by Sole reserves the right to decline or discontinue service if conditions are unsafe, unsanitary, or unsuitable. Your foot care is a shared journey, and our mutual comfort and safety are priority.

Shirish Kelly

Licensed Advanced

Wellness Pedicure Specialist

Phone: 804.837.0920

Saturday - Tuesday |  By Appointment Only

Serving private residential homes and office settings in Chesterfield, VA. Limited availability in Henrico & Richmond based on schedule and location.

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© 2026 Heal by Sole LLC. All Rights Reserved.

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