Golden Years Therapeutic Massage
Policies and Procedures
Please arrive to your appointment on time. If you arrive more than 5 minutes early, the door may be locked and you may need to wait outside or in your car. If late arrival is unavoidable, your session will be shortened in order to keep on schedule. The original session time will be charged.
Please provide at least 24 hours notice if you need to cancel or reschedule an appointment. If an appointment is cancelled or rescheduled within 24 hours of the scheduled appointment, the client will be charged 50% of the scheduled session’s full price. Cancellations and rescheduling made within 2 hours of the scheduled appointment will be charged 100% of the scheduled session’s full price. If the scheduled session is part of a program, the fee will be based on the price of a sixty minute session.
If on a very rare occasion, the therapist is forced to cancel or reschedule less than 24 hours prior to an appointment; the client will be offered 50% off the rescheduled appointment (no upgrades). If it is within 2 hours, the client will receive their rescheduled appointment free of charge (no upgrades). If it is during a program, you can use this session after the program is completed, as a follow up session and will be based on a sixty minute session.
NO SHOW POLICY
Clients who fail to show for appointments will be charged in full. Clients who are part of a program will be charged for a sixty minute session ($85).
All payments including prepaid packages, sessions, programs and gift certificates are non-refundable. Prepaid packages and gift certificates always expire ONE YEAR from purchase. The Introductory Program expires 30 days after the initial appointment, all other programs expire after the predetermined time frame. If you are unable to use your prepaid, unexpired sessions that are part of a package, they can be transferred to a friend or family member. Programs are non-transferable.
When your first appointment is scheduled, you will receive a copy of these policies and procedures and will be asked to sign the consent stating that you have read the information, understand it, and agree to comply with the policies and procedures. A credit card on file is required to guarantee these policies and to cover any cancellation fee. Clients who are not seen within a year will be asked to sign this form again.
SCOPE OF PRACTICE
I am a licensed professional and held to the highest standards of the Arizona State Board of Massage Therapy. Massage Therapy is a profession in which the practitioner applies manual techniques, and may apply adjunctive therapies, with the intention of positively affecting the health and well-being of the client. Massage therapists do not diagnose or prescribe medications for medical conditions nor are they allowed to provide treatment for specific conditions without a doctor’s supervision. The massage therapist is required to refer you for diagnosis and to follow recommendations of your physician.
CONFIDENTIALITY AND CONVERSATION
The discussion between the massage therapist and the client is confidential. I invite all questions, comments, and concerns about the treatment to be shared at any time before, during or after the session.
EXISTING AND NEW MEDICAL CONDITIONS
It is the responsibility of the client to keep the massage therapist informed of any medical treatment currently being taken and to provide written permission to receive massage from the physician, chiropractor, physical therapist, etc. The client must also keep the massage therapist informed of any changes in health conditions.
If you have any questions on the above information, please ask prior to signing
My signature on the intake form indicates that I have been provided with a copy of the policies and procedures and intake form, I agree with the following terms, have had any questions answered, and thereby give my informed consent to receive therapeutic massage from Aimee Holley, LMT.
I understand that massage therapy is provided for stress reduction, relaxation, relief from muscle tension, and improvement of circulation and energy flow
If I experience pain or discomfort during the session, I will immediately inform my massage therapist so that pressure/strokes can be adjusted to my level of comfort. I will not hold my massage therapist responsible for any pain or discomfort I feel during or after the session.
I understand that massage therapy is not a substitute for medical care. I understand that my massage therapist is not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat physical or mental illness.
I affirm that I have notified my massage therapist of all known medical conditions and injuries.
I agree to inform the massage therapist of any changes in my health and medical condition. I understand that there shall be no liability on the massage therapist’s part should I forget to do so.
I understand that massage is entirely therapeutic and non-sexual in nature.
By signing the release on my intake form, I hereby waive and release Golden Years Therapeutic Massage LLC and Aimee Holley, LMT from any and all liability, past, present and future relating to massage therapy and bodywork.
Please provide your signature on the last page of the intake form and a credit card number to Golden Years Therapeutic Massage to reserve your appointment