Intake Form

Please fill out this intake form *prior* to your first appointment. Your information will be kept confidential, and you can choose what we focus on in the session. I ask about certain health conditions in advance to ensure I’m well informed to provide a safe session. If you have additional questions, feel free to reach out to me: shiatsuwithkate @ gmail.com

Any practice that draws our focus inward, including bodywork, can bring up a variety of emotions. My training in bodywork and yoga, even trauma-informed yoga, does not amount to professional mental health training.

If you’d like to explore resources for mental/emotional health, please view my referral list, and feel free to reach out with questions.