Name: Heal by Sole
Price range: $$$

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Serving Chesterfield, Henrico & Surrounding Richmond Areas

Foot Images Required to Schedule An Appointment

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NEW CLIENT APPOINTMENT REQUEST

*First name

*Last name

*Best Phone Contact

*Who is this appointment for?

Myself

Someone else

*Address Where Service Will Be Provided

Service not available in rural areas, hospitals or assisted living facilities.

Enter parking and entry details including number of stairs.

Important: Close parking and entrance required. Service area must be clean and pest-free. Please secure pets before arrival.

What type of 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.

*Gel polish removal needed?

Yes ($25 removal fee)

*Select foot conditions that apply:

Calluses or corns

Dry, peeling, or scaly skin

Thick or damaged nails

Cracking or lifting nails

Excess cuticle buildup

Cracked heels or fissures

Foot or toenail discomfort

Signs of fungal activity

Sweaty feet or odor

None of the above

Your health and comfort are a priority at Heal by Sole. Please select any that apply.

Arthritis or joint stiffness

Active cancer or treatment

Circulation or heart condition

Diabetes

Limited mobility

Swelling in legs or feet

Reduced sensation in feet

Psoriasis or eczema

Taking blood thinners

None of the above

Share additional details here:

IMPORTANT: Images of your feet are required to schedule a new client appointment. Attach 2-4 photos (top and bottom) below. Call (804)837-0920 for assistance.

Foot Photo Pre-Assessment

I confirm that clear photos of both feet are attached above. I am ready to schedule my New Client appointment & submit the required retainer deposit.

Home
Services
New Client Request
Appointment Overview
Partner with Me
FAQs

Shirish Kelly

licensed & certified advanced

wellness pedicure specialist

Phone: 804.837.0920

Saturday, Monday & Tuesday | By Appointment Only

Serving private residential homes and office settings throughout Chesterfield, Henrico & surrounding Richmond-area locations

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Zelle, Cash, Major Credit Cards | HSA/FSA Accepted

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