Back In Balance ~
Massage and Wellness
Policies
Back In Balance ~
Massage and Wellness Policies
When you arrive for your first appointment,
you will be required
to fill out a brief intake form
and sign the policies page
as seen below.
If you’d like to save time for when you arrive, you may
download, print, and sign both
--
the intake form and this policy page
and
bring it with you on your first appointment.
Otherwise,
you may fill both out at my office..
"Download the Intake Form here"
Policies
Cancellations-
As a professional courtesy, I require 24 hours notice
if you need to cancel or reschedule. This may be
waived in the case of illness, inclement weather or
extreme emergency. Less than 24 hours, there is a $30
charge which will be collected at your next scheduled
appointment time. Likewise, if I need to
cancel with less than 24 hours notice, I will add 20
minutes to your next scheduled, paid appointment. “Repeat
offenders” will be required to prepay for their
appointment. Your
consideration and respectfulness is much appreciated!
Referrals-
My business grows through your referrals. To show my
appreciation, each time you refer someone to me, you
will receive an additional free 30 minutes to
your paid appointment of 60 minutes or longer.
Payment-
Cash payment only.
I
apologize for any inconvenience, but due to less
scrupulous folks, I am unable to take the risk of
returned checks. Thank you for your patience and
understanding.
Gift Certificates—May
be redeemed at Maple Ave. location only. Six-month
expiration from time of purchase.
Arrival-
Please arrive 5 minutes before your appointment so that
your session may begin on time,
and to allow for traffic.
Intake/History Form-
Every client will fill out an intake form/history on the
first visit. It is the client’s responsibility to
keep the therapist updated on any changes in health.
Information is strictly confidential.
Water-
It is STRONGLY recommended that you drink at least 2-
8oz. glasses of water within an hour after your massage,
preferably more in the subsequent hours. This should
prevent the possibility of feeling tired or sore or any
other possible after effects of massage.
Cologne/Fragrances-
Please refrain from wearing perfume or cologne
prior to your massage appointment due to
possible allergies of other clients as well as your
therapist.
Jewelry-
Please remove jewelry before your massage, especially
necklaces and dangling earrings. I can massage around
rings.
Termination of
massage-Client understands that this
service is strictly non-sexual and non-sensual in
nature, and that any illicit or sexually suggestive
remarks or gestures will result in the IMMEDIATE
termination of massage session. Client also understands
that massage cannot be provided if he/she is
intoxicated. It is required to pay for the session in
full.
Signature _________________________ Date__________