Primal Coherence · Before Your Session
Every modality has its own form. Complete the one for your session before you arrive — it is how Jane knows what she is working with, and it saves time on the day.
Each modality has its own intake form. Please complete yours at least 24 hours before your session.
Full waiver including pre-session guidelines, contraindications, health disclosures, and liability release. Required before all Kambo sessions.
Complete Kambo Waiver →Intake form covering health history, session goals, post-session care information, and informed consent.
Complete Intake Form →Waiver covering touch consent, body areas worked, right to stop, and liability release — followed by a short intake about how you handle stress and where it tends to land in the body.
Complete ERT Waiver & Intake →Intake form covering what to expect, informed consent, health history, emotional areas, and session goals.
Complete Intake Form →Intake form covering what to expect, sound healing contraindications, consent, and session intention.
Complete Intake Form →Combined intake form. You can indicate which medicines you are consenting to receive — both, or either one on its own.
Complete Intake Form →Not sure which form to complete? Text Jane at (443) 254-6762 and she'll let you know.
Every session opens and closes with time in the Genesis Bowl — no separate form needed for that if it's part of another session.