Yoni Steaming Intake

We are looking forward to working with you for an in-home yoni steam session!


Preparing:

  • We will provide everything needed! We just ask that you prepare a relaxing space that a hot plate (single electric burner with plug) can safely sit on the floor

  • We will provide a steaming gown for you wear

Pricing:

  • $50 for 30 minute steam session including herbs good for two to three sessions

  • Grounding massage can be added for an additional cost:

    • 30 minutes: $55

    • 45 minutes: $70

    • 60 minutes: $85

    • 75 minutes: $100

    • 90 minutes: $115

Cancelation:

If you have any fresh bleeding the day of your scheduled steam session, there will be no penalty for cancelation. Please let us know as soon as possible (minimum two hours prior to appointment) if this is the case as fresh bleeding is a hard contraindication for steaming.

Intake:

Personal Information
Name *
Name
Phone Number *
Phone Number
Address *
Address
Emergency Contact *
Emergency Contact
Emergency Contact Number *
Emergency Contact Number
We have a private Facebook Group for client's only where we share tips, lead discussion, and post events around the Triangle we are hosting.
Health History
Please select any of the following that apply to you: *
Please specifically think about allergies to flowers, herbs, plants, fruits, etc.
Your Menstrual Cycle
Date of the first day of your last menstrual cycle:
Date of the first day of your last menstrual cycle:
Do you regularly experience any of the following: *
Yoni Steaming Session
Contraindications *
The following conditions are hard contraindications, meaning yoni steaming is not recommended.
Allergies *
Please indicate if you have an allergies to any of the follow herbs:
Grounding Massage
Please select any health conditions you have
Waiver
Most of the side-effects reported while steaming are positive. Yes, some of these positive effects are also cleansing so your body may go through this cleanse different. This is completely normal.
1) Go to the bathroom directly prior to vaginal steaming. 2) Understand proper period care and learn about your period specifically. Some women find that not always using tampons provides a large benefit, specifically the cycle following a steam. 3) Increased vaginal discharge can be addressed by using cotton underwear liners and a peri- bottle throughout the day to clean mucus off the skin.
If steaming causes a rash, bumps, headaches itchiness, diarrhea or the onset of fresh spotting or inter-period bleeding, this could be a sign that your steam protocol or herbs might need to be adjusted or that there is an allergic reaction. If these signs occur please let your practitioner know so they can adjust the steam session as necessary or make a referral.
I understand that vaginal steaming may have positive or negative side effects as a result of doing a vaginal steam session. I accept legal responsibility for my choice to do a vaginal steam session and waive the responsibility of the practitioner and the facility where the steam session takes place in the case that any of the named side effects (or others) may occur. My printed name below represents my signature.

The cost of the steam session is $85. After we receive your intake, we will contact you to schedule your appointment.


LET CAROLINA BIRTH AND WELLNESS HELP YOU WITH ALL OF YOUR WELLNESS GOALS