I know your phone is your life.

Phone calls, text, web surfing, stock viewing, etc are NOT appropriate to use during your session.

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I love kiddos!

However, we do not have any day-care like services currently to watch over children while you are in service.

If you arrive with your child at the time of your appointment, you will be asked to reschedule your appointment (unless they are the one receiving treatment.)

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Late Arrival & Reschedule Policy

Please arrive 15 - 20 minutes prior to your scheduled appointment time to allow time to fill out any required paperwork as well as answer any intake questions the practitioner may have. We understand issues do arise that may cause you to arrive late to you appointment. However, we ask that you call to inform us if this ever occurs so we can do our best to accommodate you. Appointment times are reserved for each client, so often times we cannot exceed that reserved time without making the next client late. Arriving after your appointment start time [scheduled time minus intake time] may result in a loss of time for your session so that your session still ends at the scheduled end time. Full service fees will be charged even when sessions are shortened due to late arrival. In return Brealyn Raine, LMT will do their best to be on time and if we are unable to do so we will add time to your session to make up for our late arrival or adjust the service charge accordingly. Please understand too many late arrivals may result in a client dismissal notice in the mail due to being unable to follow through with appointment commitments.

Consent For Treatment

If I experience any pain or discomfort during the session, I will immediately inform the practitioner so that the pressure and/or strokes may be adjusted to my level of comfort. I understand that bodywork/massage should not be considered as a substitute for medical examination, diagnosis, or treatment and that I should see a physician or other qualified medical specialist for any mental/physical ailment of which I am aware. I understand that the bodywork/massage practitioner is not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat any physical/mental illness and that nothing said in the course of the session given should be construed as such. Because bodywork/massage should not be performed under medical conditions, I affirm that I have stated all my known medical conditions and all questions honestly. I agree to keep the practitioner updated as to any changes in my medical profile and understand that there shall be no liability on the practitioner’s part should I fail to do so. I also understand that any illicit or sexually suggestive remarks or advances made by me will result in immediate termination of the session, and I will be liable for payment of the scheduled appointment. Understanding all of this, I give my consent to receive care.

Inappropriate Behavior & Sexual Misconduct Policy

Bodywork/massage therapy is for relaxation and therapeutic purposes only. There is absolutely no sexual component to bodywork/massage whatsoever. Any insinuation, “joke,” gesture, conversation or request otherwise will result in immediate termination of your session. You will be refused any and all services thereafter. You will be charged the full price of the appointment regardless the length of the session. Should the practitioner feel that there is a sexual underlying from the client, the session will be terminated with full service charge. Sexual misconduct will result in receiving a client dismissal notice in the mail and a police report will be filed to authorities following the situation, depending on the behaviour exhibited. By signing below, you understand that sexual misconduct in this practice will treated as a very serious matter. Treat the practitioner with respect and dignity and you will be treated with the same in return.

Cancellation Policy

Brealyn Raine, LMT respectfully asks that you provide us a 24 hour minimal notice of any schedule changes or cancellations. Please understand that when you cancel or miss your appointment without providing a 24 hour notice, that your appointment time is often unable to be filled. This is in inconvenience to the practitioner and also means that other clients miss the chance to receive the services that they need. For this reason, understand that you will be charged 50% of the service fee for the first missed appointment and 100% of the service fee for each cancelled session after that. Brealyn Raine, LMT reserves the right to require a credit card on file to be given to book future appointments so that appropriate fees may be charged if a late cancellation does occur. Brealyn Raine, LMT understands that emergencies do happen, and that illnesses do occur at inopportune times. If you have a fever, a known infection, or have experienced vomiting or diarrhea within 24 hours of prior to your appointment time, it is requested that you cancel your session. Inclement weather may also result in the need for late cancellations. Brealyn Raine, LMT will do our best to give an advanced notice if the office will be closed or need to cancel due to bad weather, please do the same for this practice. Please do not risk your own safety trying to make it to your appointment. Late cancellation due to emergency, illness, or inclement weather generally will not result in any missed session charges however please note, that this is determined on a case-by-case basis.

We require a card to be on file for all future appointments. Please provide a valid credit card below to be charged in the instance of a 24 hour cancellation or no-show in regards to our cancellation policy. This card will not be charged otherwise. On your intake form you will be required to fill out a credit card form sheet in order to rebook.

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Minors Policy

All persons under the age of 18 are required to have a parent or guardian fill out this form. By signing below, you agree that you are the parent or legal guardian of the minor receiving treatment(s) at our facility. You understand that you are required to remain at the facility for the entirety of the minor’s treatment(s). You will also be required, if needed, to assist the minor in preparing for his/her treatment(s). We may also request that you remain in the treatment room to supervise all interactions between the therapist and the minor.You also agree that you have completed the Intake Form and have informed the therapist of all medical diagnoses, symptoms, medications, and complaints associated with the minor receiving treatment(s).

I [the parent or guardian signature], certify that I am the parent or legal guardian of [minors first and last name], who is [age] years of age as of today. I have completed the Intake Form for the above-mentioned minor and informed the therapist of all relevant medical history and concerns. I understand the scope of massage therapy and that it is not meant to diagnose, treat, or cure any conditions and is not a replacement for standard medical care. I give permission for my minor child to receive treatment(s) at this facility and agree to all the above terms.