Schedule An Appointment - Same Day Lice Checks and Treatments

We will respond within minutes to confirm your appointment for today or whenever it works best for you.

LFN Intake

Please fill out one appointment form per household.

First Name:*

Last Name:*

Email Address:*

Street Address:*

Apt / Suite / Floor

City:*

State:*

Zip Code:*

Phone Number:*

Child’s Name: (if applicable)

Child’s School/Camp: (if applicable)

List any allergies:

When did the head lice symptoms start?

Hair description (length, texture, and thickness):*

Number of People in Household:*

Preferred Appointment Date:*

Preferred Appointment Time:

How did you hear about us?

I understand that hair must be clean and detangled upon arrival. A $25 additional fee will apply to hair that is tangled.*

I understand that hair must be clean and detangled upon arrival. A $25 additional fee will apply to hair that is tangled. *

I understand full payment is due at the time of services and I have reviewed the prices:*

I understand full payment is due at the time of services and I have reviewed the prices. *

I understand there is a $65 cancellation fee when an appointment is canceled with less than 6 hours’ notice.*

I understand there is a $65 cancellation fee when an appointment is canceled with less than 6 hours’ notice.

* There is a minimum service fee of $125 per initial in-home visit which will apply towards your treatment session. (This is NOT an additional fee)

** Follow up appointments have a minimum fee of $75 per person.

*** Extra thick hair and/or severe infestations may be subject to additional fees.

If you are human, leave this field blank.