Name: Heal by Sole
Price range: $$$

First name

Last name

Best Phone Contact

Email

Who is this appointment for?

Self

Family or Friend

Address Where Service Will Be Provided

Not available in rural areas, hospitals or assisted living facilities.

Provide parking info and number of stairs:

Important: Close parking required. Please secure pets before arrival. Service area must be clean, pest-free, and on the main level (no bedrooms).

Which seating will be used in your main living area?

List your availability based on appt hours:

Appointment Hours:

Monday and Tuesday: 11AM - 7PM Saturday: 10AM - 3PM

When was your last pedicure or foot care service?

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

Required Feet Review: Upload (2-4) top and bottom photos of your feet.

Share additional details here:

I confirm photos of both feet are attached. I am ready for scheduling & the retainer payment.