Client Screening Form

PLEASE UNDERSTAND, OUR SAFETY IS YOUR SAFETY.We work out of private live/work spaces (not storefronts). Therefore, just as you would not invite unknown strangers in to your private home who have not been vetted/screened or have an online presence, neither do we.

We screen in order to provide a safe sanctuary for you to unwind & leave the cares of the world behind. We choose to create an optimal & peaceful environment for true shamanic-tantric transformation to occur.

All new clients must be personally verifiable through an online professional presence... Please be prepared to text/email your therapist an image of your ID as well.


*If your name is on a professional website - great! Otherwise, if you are an actor or director, simply be ready to show Guild Card, if student - a student ID, if an employee of another company - a paycheck stub, and soforth.
This information is not stored or retained, after your first visit you establish a nickname, which is all that we hold on to (along with partial phone number digits, so we know when you call again that you are truly that person).

Because most of our Holy Love temples are located in private live/work spaces, for both our safety and yours, we need to know a few things about you before we schedule a booking. Your information will not be stored or retained. This is just our screening policy for your first session with us.

Please tell us your profession, where you work or where you attend school if you are a student.
*Please understand you will need to show us a valid driver's license or passport upon arrival, that we may know you are truly the person whom we had screened & verified.