Boundaries and Comfort Levels:Physical Touch (Close Contact only):
Name:
Date:
Service:
Preferred Contact Method: Please include the information below (i.e. Phone number, email address, etc)
Session Goals:What do you hope to achieve from this session?
Topics to Avoid:Are there any topics you prefer not to discuss?
Preferred Communication Style:
Consent Confirmation:
Additional Notes or Preferences:
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