Here are a few questions to answer via email, @ s(dot)firstname.lastname@example.org, prior to making an appointment;
Functional FSM Intake form
What are your current health concerns?
- What course of treatments and action plan do you and your health team have in place?
- Are you accustomed to receiving bodywork, if so, what has been your experience?
Have you had any surgeries, accidents, injuries, head and or sacrum traumas going back to your birth. Where you C-section, forceps or suctioned?______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
be mindful of significant events/traumas in your life and how they have influenced you. Please state the age and event.
Do you have diagnosed PTSD?
Are you taking medication? This is particularly important when it comes to Lymphatic Drainage.
Do you have any metal implants or pumps of any kind?
Are you pregnant?
Are you on a nutritional plan or take supplementation and or herbs?
what is your activity level or exercise regime?
what is your sleep pattern?
what would you like to improve about your body/mind/spirit?
- Please send your answers at least 24 hours prior to your appt.
- Please send any questions in a timely manner (48 hrs) prior to your appt. so I can answer you appropriately.
- I also am open to working with your current team of health care providers to compliment your current therapies.
- Sessions are integrated with expertise, advanced training and experienced hands. Self care instructions will be given to enhance your progress.
- I prefer a 90 minute intitial session to assess and fully address the whole person.
- Normal investments are 200.00 for 90 min. and 150.00 for 60 min. On site appt. 90 min. only and may include a travel fee.
- Psych-K sessions available after initial session, by phone, 30 minutes for 80.00.
- PRE PAY WITH PAYPAL FOR OFFICE VISITS AND ON SITE VISITS REQUIRED* 24 hour cancelation policy,may reschedule within the same week after prepayment.