Herbal V Steam Intake Form

Please fill out this form and be as accurate as possible with your answers.


There are times when it is not beneficial for a woman to steam. First, let's make sure you don't have any contraindications.

*If you are on your cycle on the day of your appointment, you will need to wait until after your cycle has discontinued to be serviced.

*If you are pregnant we cannot steam you. Wait 2 weeks after delivery for post-delivery herbal steam.

*Do not use any medicine 30 mins. before the appointment and wait 30 mins. post-appointment before taking any.