Contact

Rahi Chun

My practice is located in Los Angeles, California.

To inquire about receiving sessions, please fill out the form below and initial and sign the informed consent agreement. Thank you.

Intake Form

What is your first name? *
What is your intention in inquiring about receiving sessions?
Please share about your current lifestyle and self-care practices?
Who were you referred by or how did you discover Somatic Sexual Wholeness?
Is there anything else you would like to share or questions you would like to ask?
Please provide several days and times you are available for a complementary phone consultation and the best number to reach you.
Email *
INFORMED CONSENT & AGREEMENT • I understand that Somatic Sexual Wholeness involves a complementary series of health and wellness modalities designed to expand my understanding and experience of embodied sexual health, wholeness, and well being.
• I understand that all touch during the session will be given only by my permission and is intended for the relaxation of my nervous system, awakening my body’s energy channels, and releasing any stored contractions.
• I understand that during all parts of all sessions, the facilitator will remain fully clothed at all times and all touch will be uni-directional from facilitator to client.
• I understand that Somatic Sexual Wholeness practitioners do not act as surrogate partners.
• I represent and warrant that I am physically fit and I have no medical condition which would prevent my full participation in the session, and I will update practitioners on any changes in my health status.
• I understand that Somatic Sexual Wholeness is not psychotherapy or medical treatment. I will consult my medical doctor if I have any question about my physical or mental health.
• Printing my name below confirms I have read, understand and agree to the above statements.
Date *
Signiture (please initial) *

Verification

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Legal Notice:

With reference to California Code section 647(b) and CALCRIM Nos. 1153 to 1155, the services discussed herein do not in any way include or relate to either (1) engagement in any lewd act for money or other consideration, or (2) solicitation, offer, or agreement to engage in any lewd act for money or other consideration. SB577 : Complimentary healing arts such as Somatic Sex Therapy and Sexological Bodywork do not require licensing by the state of California.