POLICIES                                               

PATIENT-CLIENTS
- I generally treat only patient-clients who are at least 18 years of age and are competent to handle their own medical and financial affairs and make their own decisions.  If you would like me to treat your teenager, a cooperative younger child, or a person for whom you are a legal guardian, please contact me to discuss before scheduling.  I do not treat infants or toddlers.
 

SCHEDULING
- All treatments are by appointment, scheduled in advance, depending on availability.
- Appointments can be scheduled online or by contacting me directly.

FORMS
- New Patient-Client forms will be emailed to you for your files and to save the time it would take to read them when signing during your first appointment.  These are more detailed than for some other types of therapists because they are required for my medical practice.
- They cannot be completed online. If you can, print and complete the Information & Medical History form.
- Either bring it with you to your appointment or scan and email it back to me, if you are willing to do so knowing that this is not a HIPAA-compliant method of transmitting your PHI (Protected Health Information).
-If you prefer, I can complete it as we talk before and during your session.
- Wait to sign the form until we meet and discuss any questions you may have.
 

TREATMENT  SESSIONS
- Appointment times are scheduled to allow for a full 60, 75, 90, or 120 minutes of treatment/instruction time, depending upon the type of session that you scheduled, in addition to a period of time beforehand for greeting, discussion, completion of forms during your first appointment, any change of clothing, and postural assessment, and afterwards for discussion, dressing, payment, and scheduling.
- Plan to be in the office for up to 30 minutes longer than the length of time of your scheduled treatment session (up to 45 minutes longer for your first session).
- Please arrive on time or a few minutes before your scheduled appointment time, especially if you will be completing forms after you arrive.
- Please do not arrive under the influence of alcohol or any other recreational drug, whether legal or illegal, or having very recently used any tobacco product.
- Please minimize any strong scents or odors on your body and clothing, including tobacco, perfume, or cologne, for the comfort and welfare of myself, others in the office, and my next patient-client, any of whom may have allergies or sensitivities.
- Please do not have oily products on your skin; MFR treatment avoids sliding on skin and does not use oil or lotion.
- If possible, arrive for your appointment normally hydrated (not dehydrated) and without having just eaten a very large meal.
 

FEES & PAYMENTS
- Payment is due no later than at the end of your treatment session. 
- Payment can be made via cash, check, Zelle (not HIPAA-compliant, if this concerns you), or credit/debit card.                  
- I will charge you any fee that I incur for a check returned as un-payable from your bank due to insufficient funds.
- Real Relief Myofascial Release, LLC is a privately owned and operated, cash-based, fee-for-service practice.
I am not a provider for any private or government health insurance program, including Medicare or Medicaid, Worker’s Compensation, lawsuit settlement cases, or car accident cases.   
- Insurance coverage for myofascial release is currently very rare.  If you have investigated and know that your insurance policy, Flexible Spending Plan, or Healthcare Savings Account will reimburse you for prescribed Myofascial Release Manual Therapy for a specific diagnosis, specific treatment interval, and number of sessions, AND if you have obtained that prescription and your Diagnosis Code(s) (ICD-10 codes) from your prescribing healthcare provider, I can provide you with the required document called a Superbill for you to submit to your insurance company.
- I do not refund the fee for any treatment session provided.  I cannot and do not guarantee that you will experience any specific result.
- No gratuities are expected or accepted, since this is a medical practice; instead you may consider writing a positive review (email to me with permission to use your full name and city, and possibly include a photo to add even more authenticity to your review.)
 

CONTACTING ME
- Please text or voicemail for a last-minute cancellation, change, or late arrival, keeping in mind that I may be in session and unable to immediately reply.  I may not receive a last-minute email.
- I welcome text, email, or scheduled telephone conversations for introductions, to ask questions or provide feedback before or after sessions, or for my assistance with scheduling or payment.
- I will return routine emails, texts, and voicemails as promptly as my schedule allows, almost always in much less than 24 hours.

CANCELLATIONS
- If you must cancel a session, please do so at least 24 hours in advance of the appointment time.
- To respect your time and mine, and acknowledging the difficulties of managing personal and business schedules, I will charged 50% of the session fee for appointments canceled without 24 hours’ notice, or the full session fee for appointments missed without any notification, due prior to any rescheduling or future scheduling.
I may make an exception for unavoidable or emergency situations, at my discretion.
- If you become aware that you are going to be late, please text or voicemail; I may be in a treatment session, possibly able to receive your message but unable to reply. I will treat you for your remaining scheduled time, with the full session fee due.

DECLINING TO ACCEPT PATIENT-CLIENTS  & TERMINATION OF SERVICES
- You may terminate treatment at any time, including during a treatment session; you will, however, still be responsible for paying the session fee.  No refund will be issued.  I cannot and do not guarantee that you will experience any specific beneficial results from treatment.
- I reserve the right to decline to accept you as a patient-client or to terminate services if, in my judgment, my treatment will not or does not adequately meet your needs, if we have conflicting opinions or goals for your treatment, or for any other reason that does not involve discrimination on the basis of race, age, gender, sexual orientation, religion, or ethnicity.
  I will provide names of any other local JFB-MFR therapists, if appropriate, or try to help you to locate other appropriate types of healthcare practitioners. 
- Any sexual suggestions, explicit actions, or other inappropriate or aggressive behavior will not be tolerated. 
The  session will end immediately. You will pay the session fee, leave the premises, and seek no future treatment here.  Other local therapists will be informed of your identity and behavior for their safety.    
In cases that constitute assault or other overtly criminal behavior, I will immediately call the local police department.