Raked sand in a gentle spiral around a single stone

Before your first session

Your intake
& consent form.

Thank you for scheduling a session with me. I am looking forward to supporting you!

I kindly ask that you read this form over and submit it before our session begins. There is no account to create and no password to remember; we have intentionally removed that hurdle so you can transition into your healing journey simply, softly, and without any extra burden.

How this works

Take your time

Before your first appointment, I encourage you to think through your emotional and physical goals and what you want to accomplish through our work together. Whether virtual or in person, our work is an interactive partnership where we will discuss your history, symptoms, and intentions at a pace that feels entirely safe and comfortable for you.

Share only what you feel comfortable disclosing. A brief overview is all we need to begin.

Questions? Call or text 208-208-CALM or email [email protected]. Office hours are 10am–6pm; I typically respond within 24 hours.

In warmth and healing,
Kimberly

About you

What brings you here

Health history

This helps me keep the somatic work safe and supportive for your body. Share only what you are comfortable sharing.

Please check any that apply to you (optional)

A little about you

Where you are right now

On a scale of 1 (very low) to 10 (very high), how would you rate each of these in your life today?

Your hopes and intentions

Understanding & agreement

Understanding & agreement
Minor consent (only if the client is under 18) (optional)
Prefer to talk? Call or text 208-208-CALM.