Before filling out the intake form, please read my Informed Consent Document, which outlines the nature of my practice / classes and limitations of liability, as well as business policies.  By submitting this intake form you agree to the contents of the Informed Consent Document.

Office Address:  2016 5th Ave., San Rafael, CA 94901

Upon Arrival: if you are early, please don’t knock on my office door prior to your appointment time. I may be with another client. My office door will be opened at the time of the session. During the summertime, you can wait and take a seat in the garden and enjoy the quietness.

Payment: Payment is due prior to the appointment. If you haven’t paid before the appointment, we will take care of that first, before beginning session work.  You may pay via Venmo (@Boris-Hediger) or Cash.

Intake Form