• Intake & Waiver Trauma-Informed Integration Assessment Form

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    Personal Background, Trauma History & Current Symptoms


    “Please only share what you feel comfortable disclosing. All information is confidential and trauma-informed care is a top priority.”


  • Healing Readiness & Safety

  • Integration Intentions

  • Trust Building & Spiritual Connection

  • This agreement outlines the understanding and commitments between the client and Bufo Healing Sanctuary for the purpose of trauma-informed integration support. Our sacred space is one of mutual trust, respect, and healing intention. We hold every session as sacred — an opportunity for soul restoration and deep listening.

    1. I understand that the services provided are for spiritual, emotional, and energetic support only.

    2. I agree to take full responsibility for my own healing journey and personal decisions.

    3. I understand that this work does not replace medical or psychiatric care.

    4. I agree to show up on time and communicate if I need to cancel or reschedule any sessions.

    5. I understand all sessions are held in confidentiality, unless harm to self or others is disclosed.

    6. I agree to honor the sacred nature of this work by maintaining respect for myself, my facilitator, and any other participants involved.

    7. I understand that integration is a process, and results may vary depending on my participation.

    8. I agree to communicate any triggers, concerns, or needs that arise during or after sessions.

    9. I agree to make full payment at least 24 hours before my scheduled session.

    10. I understand that no-shows are subject to a 10% fee.

    11. I understand that cancellations must be made at least 24 hours in advance to avoid fees.

    12. I agree to remain fully dressed at all times during sessions, as a policy of safety and respect.

    By signing below, I acknowledge that I have read, understood, and agreed to the above terms.

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