Direct Bill Your Appointment

Selena is welcoming her first child in the new year of 2018 and will be accepting limited clients, on a case by case basis, starting Jan 2018 until April 2018. Please get in touch with Selena at 778-990-6047 or email selenadevries[at]gmail.com for booking inquiries throughout this time period.

New Client Appointment Form: Direct Billing

If you are wanting to direct bill the appointment, please fill in the medical insurance information at the end of this form. Please allow 48 business hours to confirm insurance coverage.