Intake Form
Click here for all-modality intake form
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Cancellation Policy
The goal of this protocol is to support a container that feels safe to both of us - where you feel you are being good to you and me, and I feel I am being good to you and me. Thus, this policy follows the Cuddlist Opening Agreement.
We’ll verbally review this policy prior to beginning work together, to determine fit and consent: I want you to know and to feel good about what you are agreeing to!
Once an appointment is set up, please inform me as early as possible if scheduling needs change.
Cancellation is free if session is cancelled with at least 48 business hours. (Example: if your session is Thursday, cancel by Tuesday. If your session is Tuesday, cancel by the previous Friday.) By scheduling a session, a client is agreeing to send payment in full if notice is given fewer than 48 business hours ahead.
If I’m ill or potentially contagious, you don’t want to see me! If you’re ill or potentially contagious, I don’t want to see you either - in person, that is - so text me to switch to telehealth, or email me to reschedule at no charge.
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Rates
Relational forms of therapy, such as Cuddle Therapy and Somatic Coaching - are intensive processes for both client and practitioner. It is important to me to be able to offer this work to historically underserved populations, while also abstaining from burnout, so I can bring all of my clients my best self. For this reason, you’ll find below a sliding scale - an anti-oppression, rate-based structure - wherein redistribution-range clients make it sustainable for me to serve my sliding scale clients. You choose your rate based on your answers.
Read through with pen and paper and tally your answers to determine your payment tier. Your work will not be checked, this is a self-selection process. It is meant as a guide, not a prescription. You know your financial reality better than any person or any scale.
Standard full fee - $250/hr
All/Mostly Yes’s ➤➤➤ In-Person: $250
Equal Yes’s and No’s ➤➤➤$160-$250
Mostly No’s ➤➤➤ $125-$160
Are you and your family homeowners or landowners? (This question does not apply to those who are Native or Indigenous)
Did you experience early life abundance and are now only experiencing “temporary scarcity”?
Are you able-bodied?
Do you have a degree that you did not pay with loans (private and federal)?
Are you able to make payments on bills or credit cards?
Do you experience housing security or stability?
Do you work part-time by choice?
Do you work for less pay by choice?
Do you experience ease when paying bills?
Do you have a relatively high degree of earning power due to your level of or kind of education? (Or gender and racial privilege, class background, etc…even if you are not currently exercising your earning power, I ask you to recognize this as a choice.)
Do you have access to residual, gifted, supplemental, or passive income?
Have you been able to easily access and afford health insurance for yourself?
Do you have income-generating assets (real estate, investments, stocks)?
Do you have zero to no debt?
Are you able to financially manage your debt?
Do you have a safety net composed of “financially stable” or wealthy family and friends?
Do you have access to a network of wealth?
Do you have U.S. Citizenship?
Do you have the ability to choose to work or not?
Does your income only support you and not other loved ones?
Have you or do you expect to inherit money or property?
Have you (or could you have attended college and/or graduate school)?
Have you attended private education institutions, or do you have an advanced degree?
Do you have income that is not from disability or social security?
Do you have access to income that allows you to (regularly) vacation and spend money on other personal wants/desires?
Thank you!
Credit for this sliding scale goes directly to N. Oumou Sylla, LMFT,
With further inspiration from:
Kenya Crawford, Mia Schachter, Brandon Hunter-Haydon, Michelle Renee and more.
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