Request an Appointment Please complete and submit the form below to request an appointment. You should expect a response within 24 hours. If you do not receive a response within 24 hours, please call or text Gerald directly at (713) 822-2957. Contact Us Client First Name * Client Last Name * Client Phone Number * Client Email Address * Client 2 First Name Client 2 Last Name Client 2 Phone Number Client 2 Email Address Preferred Upcoming Appointment Day(s) Monday Tuesday Wednesday Thursday Friday Saturday Sunday Preferred Appointment Time(s) Morning (10am – 12pm) Afternoon (12pm – 5pm) Evening (5pm – 8pm) Preferred Response Method EmailPhone Call Comments