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Cancellation/No Show Policy

It's just a simple act of consideration - just call me within a reasonable amount of time to reschedule your session and I'll do the same.

*If you don't give me at least 24 hrs notice of cancelling your appointment, or just don't show up at all, you will be charged the full amount of the session*

I will waive the fee if there's a legitimate excuse, like: Illness, Emergency, Inclement Weather or Death in the Family. There are probably more that can be added to this list - just ask.

Insurance Receipts

I don't work directly with Insurance companies, but I can provide receipts with the proper codes – just give me a heads-up beforehand and I can have them ready at the time of the session, or afterwards and I'll either snail-mail or email them to you.

Forms

To expedite your visit I ask that you please bring a completed intake form and signed release form.

Intake Form

The following intake form will give me a breif histroy of your health and allow you to tell me what areas you would like to focus on with your treatment.

Intake Form

Release Form

I understand that the massage I receive is provided for the basic purpose of relaxation, stress reduction and relief of muscular tension. If I experience any pain or discomfort during the session, I will immediately inform the practitioner so that the pressure and/or technique may be adjusted to my comfort level.

I further understand that massage should not be construed as a substitute for medical examination, diagnosis or treatment, and that I should see a physician, chiropractor or other qualified medical specialist for any medical or physical ailment I am aware of.

Because Bodywork is contraindicated under certain medical conditions, I affirm that I have stated all my known medical conditions and answered all intake questions honestly. I agree to keep my practitioner updated as to any changes in my medical profile and I understand that there will be no liability on the practitioner’s part should I forget to do so.

Should I need to cancel future sessions, I agree to give my practitioner at least 24 hours notice or I will be financially responsible for the session time.

Release Form

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