NOTICE! I am not taking new clients at this time!!! If you would like to be notified when my schedule opens up, feel free to send me an email stating that. In the meantime my top three referrals in the Bay Area are:
If you are interested in scheduling a somatic sex therapy session with me please fill out this intake form and contactme to schedule a free introductory call! I will also need the informed consent and agreement document to be signed before we begin working together.
Intake Form for Somatic Sex Therapy Clients
Please review the form below and address only those questions that feel relevant. If you would rather fill out this intake form offline you can download as a PDF or Word Document and email it to me.
An informed consent and agreement document must be signed at or before our first meeting. You can view and print the waiver here. I can also provide this if you do not bring it in already signed.
I assure professional confidentiality. If you want me to work together with your psychotherapist, medical doctor, coach or other health practitioner, I will ask you to sign a release form.
Oftentimes these questions can help reflect, process and clarify your intentions. When filling out this intake form set aside some time in a quiet place, so you can feel into your deepest truth. Take breaks when you need, deep breaths to ground, and maybe a sip of tea or water. Be kind to yourself as you work on the following questionnaire.
Thank yourself for taking the time to fill this out!
