Genital mapping initial intake form

Name *

First Name

Last Name

By signing this form you agree to all the below *

At the time of the session I will NOT be: 0 - 3 months pregnant Less than 6 weeks postpartum HIV positive or with current known active STI’s I understand somatic sex education is not psychotherapy or medical treatment. I understand that any erotic touch will be given only at my request and solely for my own benefit, education and pleasure. I have stated all medical conditions that I am aware of, and I will update Morgan on any changes in my health status.

Yes I understand

CANCELLATION AND RESCHEDULING AGREEMENT

CANCELLATION POLICY - If you need to cancel your appointment this has to be done 7 days prior to session time for you to receive a refund. Cancellations or Rescheduling within the 24 hours prior to appointment time will incur a fee of $100 NZD Any form or refund will incur a $25 NZD fee IN THE CASE OF YOUR PRACTITIONER RESCHEDULING YOUR SESSION - If for some reason your practitioner needs to reschedule your session a new time will be arranged and your payment will be carried over. In the case that your practitioner needs to reschedule and you are unable to find a new time that suits you both, your practitioner will refund your payment. Thank you for understanding and respecting my work by honouring this agreement. Do you agree to the cancellation and rescheduling agreement?

Yes I understand

More Info

Even though this modality is completely safe for pregnant bodies. I do not offer sessions to bodies that are within the first trimester at the time of the scheduled appointment. Genital Mapping is amazing after birth or if you’ve had any operation in the genital area, a C-Section, a hysterectomy, etc. but please wait at least 6 weeks after any operation to book in your session. I don't work with people who are currently in an active state of trauma that directly affects your basic functioning. I do not offer Mapping to those under the age of 18. Any information you give me is kept strictly confidential. By Ticking this you are signing that you have read and understand the terms and conditions.

Yes