For Providers seeking References: Please email me and I will reply at my earliest convenience. My email address for reference inquiries is

screening [at]

For Returning Clients: There is no need to re-send the screening form below. Please ensure you have reviewed my current rate expectations, then email or text me and indicate the date, time, duration, and location for our date.

It's about time...

I am so anxious to finally meet you!

I've had encounters with great people in the past. But none of them could possibly compare to you.

In these incredibly polarized times, I kindly note that I never discriminate based on age, race, ethnicity, religion, gender, sexual orientation, or political beliefs. I am also a disability friendly provider. 

Please note, my screening options are as follows:

  1. Verified personal information from my Screening form + Verified member of P411 with 2 Provider Okay's given within the last 90 days.

  2. Verified Personal Information from my Screening Form + Two References from Genuine Independent Companions that you have seen in the past 90 days. I do not accept agency references.

  3. Verified Personal Information from my Screening Form + Identity or Employer Verification Information

If your personal information is unverifiable, or if you send in a purposefully incomplete/inaccurate form, I will decline to meet.

Please use my secure form to bring us closer. If you are uncomfortable using the form, you are welcome to email me the information from the form below - screening [@]


For the purpose of safe and secure handling of personally identifiable information (PII), I believe in personally managing the process of screening and scheduling. 

As a result, response to your inquiry might not be instantaneous. Generally, you can expect to hear back from me within 4 hours of you submitting a request- though it could take up to 24 hours or longer if I am on tour or otherwise busy with my day job.

While you wait, you are encouraged to peruse my gallery, brush up on the essentials for preparation, and unlock the cheat code to my heart. Also, please take a look at my review policy.


Full Legal Name *
Full Legal Name
Please do not use a nickname (e.g. "Bill" for William)
Phone *
Preferred Appointment Date *
Preferred Appointment Date
Outcall appointments are offered with a 90 minute minimum.
Preferred Appointment Time *
Preferred Appointment Time
Put 00 in for seconds
What city are you requesting to see me in?
How long should our time together last?
If you are requesting an appointment within 24 hours, you are strongly encouraged to use Option 3 for screening.
If applicable.
If applicable. If you are using P411 to schedule an appt., you may skip this section - I will check your Okays.
I have reviewed the expected donations for your time *
Rates can be found at
I have reviewed your cancellation and rescheduling policy *
If you need to cancel or reschedule within the 24 hour window, a 50% cancellation fee will have to be collected. 

I'll get back to you soon! In the meantime, you can check out my blog, follow me on Twitter and Instagram, and sign up for my newsletter!