Somatic Experiencing Session
Intake Form and Waiver

Welcome 🌿 This intake form is a space for you to share what feels relevant about your history, your current challenges, and the support you’re seeking. There are no right or wrong answers. You’re invited to be as open or as concise as feels safe for your system. Everything you share is held confidentially and with deep care. Your responses help me understand how to best support your body, boundaries, and your healing journey during our work together.